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1538745047
EBISE BAYISA
BLAINE, MN
NPI
1538745047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2065X Respite Care Respite Care, Physical Disabilities, Child
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
EBISE BAYISA
12457 MIDWAY CIR NE
BLAINE, MN 55449-6228
Phone number: 612-423-5057
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Mailing Address
EBISE BAYISA
12457 MIDWAY CIR NE
BLAINE, MN 55449-6228
Phone number:
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