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1316469307
HABTEMARIAM KETEMA
MILWAUKIE, OR
NPI
1316469307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OR 526141-c)
Enumeration Date
2017-07-11
Last Update Date
2017-07-11
Business Address
Mr. HABTEMARIAM KETEMA
16215 SE WEBSTER RD
MILWAUKIE, OR 97267-5254
Phone number: 503-353-7608
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Mailing Address
Mr. HABTEMARIAM KETEMA
16215 SE WEBSTER RD
MILWAUKIE, OR 97267-5254
Phone number: 503-353-7608
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