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Individual
TIRUWORK T FANTAYE
Active
Individual
TIRUWORK T FANTAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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