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1154707297
HENOK MEKONEN
ALEXANDRIA, LA
NPI
1154707297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: LA PNT. 047751)
Enumeration Date
2015-07-30
Last Update Date
2015-07-30
Business Address
-- HENOK MEKONEN PharmD
4444 JACKSON ST
ALEXANDRIA, LA 71303-2708
Phone number: 318-448-9340
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Mailing Address
-- HENOK MEKONEN PharmD
4040 PARLIAMENT DR APT 239
ALEXANDRIA, LA 71303-3062
Phone number: 312-714-4692
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