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1013612266
EPHREM BELETE BANCHA
ATLANTA, GA
NPI
1013612266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA 390200000X)
Enumeration Date
2023-04-04
Last Update Date
2023-04-21
Business Address
Dr. EPHREM BELETE BANCHA MD
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 404-616-1426
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Mailing Address
Dr. EPHREM BELETE BANCHA MD
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 404-752-1500
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