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1215418413
MIKIAS WOLDE
NORWALK, CT
NPI
1215418413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
MIKIAS WOLDE
34 MAPLE ST
NORWALK, CT 06850-3894
Phone number: 203-852-2188
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Mailing Address
MIKIAS WOLDE
812 NORTHWEST DR
SILVER SPRING, MD 20901-1434
Phone number: 301-385-9184
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