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1043417587
GETNET T HABTEWOLD
LOS ANGELES, CA
NPI
1043417587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA16709)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
-- GETNET T HABTEWOLD
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 310-668-4506
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Mailing Address
-- GETNET T HABTEWOLD
6087 RISINGSTAR DR
CORONA, CA 92880-8871
Phone number:
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