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1437703402
YOHANNES RUSSOM HAIMANOT
TACOMA, WA
NPI
1437703402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA Ph60781969)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
YOHANNES RUSSOM HAIMANOT
1112 S M ST
TACOMA, WA 98405-3654
Phone number: 253-627-8840
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Mailing Address
YOHANNES RUSSOM HAIMANOT
1112 S M ST
TACOMA, WA 98405-3654
Phone number: 253-627-8840
Copy
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