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1043878259
ETENESH MOLLA
DESOTO, TX
NPI
1043878259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP138863)
Enumeration Date
2019-06-03
Last Update Date
2021-06-15
Business Address
ETENESH MOLLA NP
2727 BOLTON BOONE DR STE 109
DESOTO, TX 75115-2019
Phone number: 469-988-4277
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Mailing Address
ETENESH MOLLA NP
18980 W MEMORIAL DR STE 100
HUMBLE, TX 77338-4394
Phone number: 972-693-3455
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