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1518116078
ASSEFA TAYE DESTA
SAN JOSE, CA
NPI
1518116078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2008-09-09
Last Update Date
2008-09-09
Business Address
-- ASSEFA TAYE DESTA
4774 CAMPBELL AVE UNIT 12
SAN JOSE, CA 95130-1857
Phone number: 408-379-9938
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Mailing Address
-- ASSEFA TAYE DESTA
4774 CAMPBELL AVE UNIT 12
SAN JOSE, CA 95130-1857
Phone number:
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