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1639893738
HENOK TEKA KASE
PHOENIX, AZ
NPI
1639893738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
(Licence: AZ BH7864)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
HENOK TEKA KASE
6315 W WARNER ST
PHOENIX, AZ 85043-0139
Phone number: 602-386-6212
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Mailing Address
HENOK TEKA KASE
6315 W WARNER ST
PHOENIX, AZ 85043-0139
Phone number: 602-386-6212
Copy
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