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Individual

FASIKA GETAHUN GEBREMARIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CERTIFICATE

Contact information

Practice address
4248 OCTOBER WOODS DR, ANTIOCH, TN 37013-4876
(615) 815-7892
Mailing address
4248 OCTOBER WOODS DR, ANTIOCH, TN 37013-4876
(615) 815-7892

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
478337
TN
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
478337
TN

Other

Enumeration date
09/14/2012
Last updated
09/14/2012
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