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1194427120
LIDIA TESHOME DEGEFA
PINE BLUFF, AR
NPI
1194427120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
LIDIA TESHOME DEGEFA MD
1601 W 40TH AVE
PINE BLUFF, AR 71603-6069
Phone number: 870-541-6010
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Mailing Address
LIDIA TESHOME DEGEFA MD
5850 3RD CV APT 6
MEMPHIS, TN 38134-9319
Phone number: 901-364-1627
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