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1124676218
FASIKA T ENYEW
GAINESVILLE, GA
NPI
1124676218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 214850)
Enumeration Date
2019-08-31
Last Update Date
2022-06-13
Business Address
FASIKA T ENYEW FNP-C
1870 ATLANTA HWY
GAINESVILLE, GA 30504-5948
Phone number: 770-534-0670
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Mailing Address
FASIKA T ENYEW FNP-C
314 CALSTONE DR
ALLEN, TX 75013-2975
Phone number: 972-837-7323
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