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1770148843
TADESSE KASSIE MELESSE
PENDLETON, OR
NPI
1770148843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0017045)
Enumeration Date
2019-05-04
Last Update Date
2019-05-04
Business Address
TADESSE KASSIE MELESSE
144 SW 20TH ST
PENDLETON, OR 97801-1804
Phone number: 541-278-5121
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Mailing Address
TADESSE KASSIE MELESSE
2201 NE 112TH AVE APT J87
VANCOUVER, WA 98684-4208
Phone number: 202-492-5041
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