BERHANU EJIGU KEDEDA

TUCKER, GA
NPI1184994105
Former NameBERHANU KEDIDA EJIGU
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN152429)
Enumeration Date2012-01-06
Last Update Date2012-01-06
Business Address
-- BERHANU EJIGU KEDEDA NP-C
5576 PRINCETON RUN TRL
TUCKER, GA 30084-8463
Phone number: 678-793-8808
Mailing Address
-- BERHANU EJIGU KEDEDA NP-C
5576 PRINCETON RUN TRL
TUCKER, GA 30084-8463
Phone number: 678-793-8808
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