Individual
YOHANNES BEKELCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10892 131ST AVE N, CHAMPLIN, MN 55316-1139
(612) 806-3098
Mailing address
10892 131ST AVE N, CHAMPLIN, MN 55316-1139
(612) 806-3098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2513221
MN
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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