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1811207632
BEKELE T HAIMANOT
RIVERSIDE, CA
NPI
1811207632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA21O33)
Enumeration Date
2010-10-14
Last Update Date
2010-10-14
Business Address
Mr. BEKELE T HAIMANOT PA-C
9528 LOS COCHES COURT
RIVERSIDE, CA 92508
Phone number: 951-640-2828
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Mailing Address
Mr. BEKELE T HAIMANOT PA-C
9528 LOS COCHES CT
RIVERSIDE, CA 92508-6814
Phone number: 951-640-2828
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