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1871065755
TIGIST MATEBIE TESHALE
TORRANCE, CA
NPI
1871065755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95010070)
Enumeration Date
2018-12-17
Last Update Date
2019-02-19
Business Address
TIGIST MATEBIE TESHALE
4235 PACIFIC COAST HWY
TORRANCE, CA 90505
Phone number: 310-373-6847
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Mailing Address
TIGIST MATEBIE TESHALE
4235 PACIFIC COAST HWY
TORRANCE, CA 90505-5525
Phone number:
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