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Kassahun Gebreselase

NPI 1346080033 · on the registry since 2024 · sole proprietor

Practice

Address
2629 Highway Oo
Farmington, MO 63640
Phone
(314) 764-0269
Clinicians at this address
2

Registry record

Primary taxonomy
Driver
172A00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-29

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 Missouri