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1083178883
TEKLU TESFATSION
SAN JOSE, CA
NPI
1083178883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-01-25
Last Update Date
2019-11-20
Business Address
TEKLU TESFATSION
1835 PARK AVE
SAN JOSE, CA 95126-1629
Phone number: 303-989-8169
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Mailing Address
TEKLU TESFATSION
1835 PARK AVE
SAN JOSE, CA 95126-1629
Phone number:
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