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1164515672
MEAZA MULUGETA MENGISTU
DANVILLE, IL
NPI
1164515672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036106480)
Enumeration Date
2006-10-02
Last Update Date
2024-10-27
Business Address
-- MEAZA MULUGETA MENGISTU M.D.
1900 EAST MAIN ST
DANVILLE, IL 61832
Phone number: 217-554-4510
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Mailing Address
-- MEAZA MULUGETA MENGISTU M.D.
3510 CAMBRIDGE COURT APT 103
DANVILLE, IL 61832
Phone number:
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