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1184191009
SAMSON AYELE NEGASH
RIVERSIDE, CA
NPI
1184191009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 25716)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
SAMSON AYELE NEGASH
12579 BOUGAINVILLEA WAY
RIVERSIDE, CA 92503-7023
Phone number: 909-856-5134
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Mailing Address
SAMSON AYELE NEGASH
12579 BOUGAINVILLEA WAY
RIVERSIDE, CA 92503-7023
Phone number: 909-856-5134
Copy
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