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Individual

MS. BETHLEHEM DAGNEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1140 HAMMOND DR NE, SUITE G7110, ATLANTA, GA 30328-5338
(770) 901-9303
Mailing address
1140 HAMMOND DR NE, SUITE G7110, ATLANTA, GA 30328-5338
(770) 901-9303

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
6027
GA

Other

Enumeration date
11/20/2008
Last updated
11/20/2008
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