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1255891438
MELAT FEKADE HAILE
LOS ANGELES, CA
NPI
1255891438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95010805)
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
MELAT FEKADE HAILE FNP
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 323-409-7728
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Mailing Address
MELAT FEKADE HAILE FNP
6234 WOODMAN AVE APT 102
VAN NUYS, CA 91401-2986
Phone number: 909-568-7140
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