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1093341331
FREW FIKRU
REVERE, MA
NPI
1093341331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: MA AG111190002)
Enumeration Date
2020-03-18
Last Update Date
2020-03-18
Business Address
FREW FIKRU NP
529 WASHINGTON AVE APT 2
REVERE, MA 02151-1962
Phone number: 617-230-0979
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Mailing Address
FREW FIKRU NP
529 WASHINGTON AVE APT 2
REVERE, MA 02151-1962
Phone number: 617-230-0979
Copy
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