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1134405186
KEFALE TESHOME BOGALE
MINNEAPOLIS, MN
NPI
1134405186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MN 119602)
Enumeration Date
2011-10-21
Last Update Date
2011-10-21
Business Address
-- KEFALE TESHOME BOGALE rph
3207 E LAKE ST
MINNEAPOLIS, MN 55406-2029
Phone number: 612-721-4868
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Mailing Address
-- KEFALE TESHOME BOGALE rph
3791 GREENSBORO CT
EAGAN, MN 55123-1298
Phone number: 651-452-1876
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