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Individual

ALEMNGEH COLUMBUS MBETAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP-BC

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R200475
MD
374U00000X
Home Health Aide

Other

Enumeration date
01/10/2012
Last updated
12/27/2023
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