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1134961980
TENSAE FANTAHUN
BALTIMORE, MD
NPI
1134961980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
TENSAE FANTAHUN
400 E PRATT ST
BALTIMORE, MD 21202-3116
Phone number: 833-599-2560
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Mailing Address
TENSAE FANTAHUN
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number: 833-599-2560
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