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1508490566
SAMUEL HAILE MELLES
BERKELEY, CA
NPI
1508490566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95211487)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
Mr. SAMUEL HAILE MELLES Registered Nurse
2222 BANCROFT WAY
BERKELEY, CA 94720-4301
Phone number: 510-642-3188
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Mailing Address
Mr. SAMUEL HAILE MELLES Registered Nurse
9639 SILVER MOON
SAN ANTONIO, TX 78254-6110
Phone number: 210-748-8177
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