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1235531955
TIBEBE WASSIE
SPRINGFIELD, OR
NPI
1235531955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 0014274)
Enumeration Date
2014-09-24
Last Update Date
2014-09-24
Business Address
-- TIBEBE WASSIE
5807 MAIN ST
SPRINGFIELD, OR 97478-6961
Phone number: 541-726-8423
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Mailing Address
-- TIBEBE WASSIE
5807 MAIN ST
SPRINGFIELD, OR 97478-6961
Phone number: 541-726-8423
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