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Individual

ESTIFANOS ABEBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1826 RACHEL LN, ROUND ROCK, TX 78664-7455
(512) 246-3556
Mailing address
1826 RACHEL LANE, ROUND ROCK, TX 78664
(512) 246-3556

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
141177
TX

Other

Enumeration date
08/31/2016
Last updated
11/03/2016
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