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1720848427
ADISU TESFAY KIROS
FRESNO, CA
NPI
1720848427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
ADISU TESFAY KIROS
4711 W ASHLAN AVE
FRESNO, CA 93722-4307
Phone number: 559-203-6640
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Mailing Address
ADISU TESFAY KIROS
PO BOX 737
SAN JOAQUIN, CA 93660-0737
Phone number: 559-203-6640
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