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1023849650
FAYA BAYISSA ADUGNA
PHILADELPHIA, PA
NPI
1023849650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP029616)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
FAYA BAYISSA ADUGNA
2502 S 78TH ST
PHILADELPHIA, PA 19153-1218
Phone number: 215-909-3948
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Mailing Address
FAYA BAYISSA ADUGNA
2502 S 78TH ST
PHILADELPHIA, PA 19153-1218
Phone number: 215-909-3948
Copy
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