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1992535231
BAZEN TESFAYE LEUL
SAINT PAUL, MN
NPI
1992535231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
BAZEN TESFAYE LEUL
2233 UNIVERSITY AVE W
SAINT PAUL, MN 55114-1600
Phone number: 720-519-9476
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Mailing Address
BAZEN TESFAYE LEUL
2233 UNIVERSITY AVE W STE 210
SAINT PAUL, MN 55114-1698
Phone number: 720-519-9476
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