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Individual

DAGMAWI MEWUCHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2495 NW JACKPINE LN, REDMOND, OR 97756-9819
(971) 570-8006
Mailing address
2495 NW JACKPINE LN, REDMOND, OR 97756-9819
(971) 570-8006

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
09/23/2024
Last updated
09/23/2024
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