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Nebiyu Fanta

NPI 1013498872 · on the registry since 2018 · sole proprietor

Practice

Address
478 University Ave W
Saint Paul, MN 55103
Phone
(202) 779-8511

Registry record

Primary taxonomy
Driver
172A00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota