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Individual

SAMRAWIT DEJENE MERSHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3650 E 100TH CT, THORNTON, CO 80229-3550
(720) 472-1366
Mailing address
10120 S 20 MILE RD, PARKER, CO 80134-5666
(720) 472-1366

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0998851
CO

Other

Enumeration date
03/17/2022
Last updated
09/07/2023
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