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1821576356
FENTAHUN YISMAW
SACRAMENTO, CA
NPI
1821576356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95080211)
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
FENTAHUN YISMAW
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000
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Mailing Address
FENTAHUN YISMAW
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number:
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