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Individual
MRS. TIRSIT ABEBE
Active
Individual
MRS. TIRSIT ABEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001196736
VA
251E00000X
Home Health Agency
Primary
1249913
VA
253J00000X
Foster Care Agency
0001196736
NULL
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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