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1487178109
SOLOMON YACOB BERHANU
WAUKEGAN, IL
NPI
1487178109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
SOLOMON YACOB BERHANU
3004 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8120
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Mailing Address
SOLOMON YACOB BERHANU
3004 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number:
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