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1891535167
ADISU ATENAFU MENGISTU
SAINT PAUL, MN
NPI
1891535167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2024-05-25
Last Update Date
2024-05-25
Business Address
ADISU ATENAFU MENGISTU
2233 UNIVERSITY AVE W STE 201
SAINT PAUL, MN 55114-1629
Phone number: 720-519-9476
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Mailing Address
ADISU ATENAFU MENGISTU
2233 UNIVERSITY AVE W
SAINT PAUL, MN 55114-1600
Phone number: 720-519-9476
Copy
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