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1194025148
DAGNA E KIDANE -MARIAM
BAKERSFIELD, CA
NPI
1194025148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 43171)
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
Mr. DAGNA E KIDANE -MARIAM RPH
11232 BRIGHT WATER WAY
BAKERSFIELD, CA 93311-3533
Phone number: 661-664-4962
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Mailing Address
Mr. DAGNA E KIDANE -MARIAM RPH
11232 BRIGHT WATER WAY
BAKERSFIELD, CA 93311-3533
Phone number: 661-664-4962
Copy
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