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1275139784
HABTEAB YOHANNES BERHANE
SANTA ROSA, CA
NPI
1275139784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 83586)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
HABTEAB YOHANNES BERHANE
1980 SANTA ROSA AVE # 516365S
SANTA ROSA, CA 95407-7621
Phone number:
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Mailing Address
HABTEAB YOHANNES BERHANE
2600 NORTHCOAST ST APT 35C
SANTA ROSA, CA 95403-3366
Phone number: 408-991-2880
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