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Individual
KIDANE TESSEMA
Active
Individual
KIDANE TESSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126837
TX
Other
Enumeration date
02/02/2015
Last updated
05/01/2019
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