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1174022768
TIGIST MEKONNEN BERHANE
BURIEN, WA
NPI
1174022768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP60235153)
Enumeration Date
2018-02-08
Last Update Date
2018-02-08
Business Address
TIGIST MEKONNEN BERHANE LPN
15675 AMBAUM BLVD SW
BURIEN, WA 98166-2523
Phone number: 206-631-3011
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Mailing Address
TIGIST MEKONNEN BERHANE LPN
15675 AMBAUM BLVD SW
BURIEN, WA 98166-2523
Phone number: 206-631-3011
Copy
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