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1922520279
BERHANU W AYELE
LOS ANGELES, CA
NPI
1922520279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 278071)
Enumeration Date
2017-07-07
Last Update Date
2022-07-21
Business Address
BERHANU W AYELE
1200 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-409-5065
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Mailing Address
BERHANU W AYELE
1200 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-409-5065
Copy
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