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1255341186
AGMASIE BIRHAN WOLDIE
SHREVEPORT, LA
NPI
1255341186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 15638R)
Enumeration Date
2006-08-09
Last Update Date
2012-07-03
Business Address
DR. AGMASIE BIRHAN WOLDIE M.D.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
DR. AGMASIE BIRHAN WOLDIE M.D.
8207 GW SENTELL DR
SHREVEPORT, LA 71115-2971
Phone number: 318-798-5406
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