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1083494090
MOGES KASSA CHEKOL
PHOENIX, AZ
NPI
1083494090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 9574)
Enumeration Date
2023-10-05
Last Update Date
2023-12-21
Business Address
MOGES KASSA CHEKOL
6315 W WARNER ST
PHOENIX, AZ 85043-0139
Phone number: 312-619-7306
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Mailing Address
MOGES KASSA CHEKOL
6315 W WARNER ST
PHOENIX, AZ 85043-0139
Phone number: 312-619-7306
Copy
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