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1023332137
ANNKETSE BERHANU DESTA
LOS ANGELES, CA
NPI
1023332137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 569177)
Enumeration Date
2010-03-18
Last Update Date
2021-04-24
Business Address
Mrs. ANNKETSE BERHANU DESTA RN
3751 STOCKER ST
LOS ANGELES, CA 90008-5101
Phone number: 323-298-3680
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Mailing Address
Mrs. ANNKETSE BERHANU DESTA RN
21730 S VERMONT AVE
TORRANCE, CA 90502-2196
Phone number: 310-781-3431
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