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Individual

WOSSEN ADINEW ASFAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3575 KOGER BLVD STE 116, DULUTH, GA 30096-7559
(770) 923-4433
Mailing address
3575 KROGER BLVD SUITE 116, DULUTH, GA 30096-9004
(770) 923-4433

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1133058
GA

Other

Enumeration date
09/16/2016
Last updated
09/16/2016
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