Individual
GEDION MAMO ADMASSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 SPRING FOREST CT, FORT WAYNE, IN 46804-6723
(260) 304-7144
Mailing address
309 SPRING FOREST CT, FORT WAYNE, IN 46804-6723
(260) 304-7144
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
9371686423
IN
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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