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Individual

KOMLANVI SEDO AVEGNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, APRN, FNP-C

Contact information

Practice address
3940 ARROWHEAD BLVD STE 110, MEBANE, NC 27302-7637
(336) 832-8040
Mailing address
1123 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-4435

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013420
NC
363LF0000X
Family Nurse Practitioner
8531
CT

Other

Enumeration date
10/07/2019
Last updated
08/10/2021
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