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Individual

FANUS K TESFAGABIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10871 COVENTRY CT, INDIANAPOLIS, IN 46234-3691
(317) 345-7536
Mailing address
10871 COVENTRY CT, INDIANAPOLIS, IN 46234-3691
(317) 345-7536

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28281204C
IN

Other

Enumeration date
02/11/2025
Last updated
02/11/2025
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