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1093051237
AEDEN GHEBRESELASSIE
MC LEAN, VA
NPI
1093051237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024174118)
Enumeration Date
2012-12-17
Last Update Date
2016-11-17
Business Address
-- AEDEN GHEBRESELASSIE CRNP
1680 CAPITAL ONE DR
MC LEAN, VA 22102-3407
Phone number: 703-720-1290
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Mailing Address
-- AEDEN GHEBRESELASSIE CRNP
1680 CAPITAL ONE DR
MC LEAN, VA 22102-3407
Phone number: 703-720-1291
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