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1225732654
MICKIAS TEGEGN
MIAMI, FL
NPI
1225732654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
MICKIAS TEGEGN MD
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 352-215-5091
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Mailing Address
MICKIAS TEGEGN MD
1611 NW 12TH AVE # C-600D
MIAMI, FL 33136-1005
Phone number: 305-585-5215
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