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Individual

SEGEN DESBELE HABTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9000 RAINIER AVE S, SEATTLE, WA 98118-5017
(206) 760-1076
(206) 760-1055
Mailing address
9000 RAINIER AVE S, SEATTLE, WA 98118-5017

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60633800
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VA60633800
PHARMACY TECHNICIAN
WA
Enumeration date
10/28/2021
Last updated
10/28/2021
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