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NEBIYU FANTA

Driver

NPI: 1013498872Individual

Specialties, Licenses & Credentials

DriverPrimary

Driver

Code: 172A00000X

M153136798609(MN)

Contact & Hours

Address
478 UNIVERSITY AVE W
SAINT PAUL, MN 55103

Quick Facts

NPI
1013498872
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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