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1356994933
ABEBE FISSEHA
ROCKFORD, IL
NPI
1356994933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051292525)
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
ABEBE FISSEHA
3849 NORTHRIDGE DR
ROCKFORD, IL 61114-4773
Phone number: 815-636-0333
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Mailing Address
ABEBE FISSEHA
3849 NORTHRIDGE DR
ROCKFORD, IL 61114-4773
Phone number: 815-505-2943
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