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1164591400
EDEN ASEFAW GHEBRESILASIE
NORTH MIAMI BEACH, FL
NPI
1164591400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA3418)
Enumeration Date
2006-11-08
Last Update Date
2008-06-06
Business Address
-- EDEN ASEFAW GHEBRESILASIE PA
18260 NE 19TH AVE SUITE 201
NORTH MIAMI BEACH, FL 33162-1632
Phone number: 305-956-9062
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Mailing Address
-- EDEN ASEFAW GHEBRESILASIE PA
2642 COLLINS AVE APT 207
MIAMI BEACH, FL 33140
Phone number: 305-215-2929
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