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Individual

MR. HAMELMAL BERHANU ASSEFA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1800 BARNES BRIDGE RD, DALLAS, TX 75228-2123
(214) 580-6184
Mailing address
1621 S JUPITER RD, GARLAND, TX 75042-7792
(469) 867-4279

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
43461293
TX
172A00000X
Driver
Primary

Other

Enumeration date
05/24/2024
Last updated
05/24/2024
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