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1073397642
BETHELEM WONDIMU BEDASSO
SHAWNEE, KS
NPI
1073397642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KS 53-82444-092)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
BETHELEM WONDIMU BEDASSO
7450 QUIVIRA RD
SHAWNEE, KS 66216-3526
Phone number: 913-706-2508
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Mailing Address
BETHELEM WONDIMU BEDASSO
7450 QUIVIRA RD
SHAWNEE, KS 66216-3526
Phone number: 913-706-2508
Copy
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