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1609587328
BEYENE TESFAYE
BURLINGAME, CA
NPI
1609587328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 61994)
Enumeration Date
2022-12-13
Last Update Date
2024-07-31
Business Address
Mr. BEYENE TESFAYE
1501 TROUSDALE DR
BURLINGAME, CA 94010-4506
Phone number: 650-652-8700
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Mailing Address
Mr. BEYENE TESFAYE
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: 650-652-8700
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