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1962534420
FANTAHUN YIMAM
LUBBOCK, TX
NPI
1962534420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835N1003X Pharmacist, Nutrition Support
(Licence: TX 36401)
Enumeration Date
2007-03-11
Last Update Date
2007-07-08
Business Address
Dr. FANTAHUN YIMAM Pharm.D.
3615 19TH ST
LUBBOCK, TX 79410-1203
Phone number: 806-725-0419
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Mailing Address
Dr. FANTAHUN YIMAM Pharm.D.
4605 102ND ST
LUBBOCK, TX 79424-7406
Phone number: 806-798-2291
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