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1265132922
TEDROS ABBAY ASFAHA
BROKEN ARROW, OK
NPI
1265132922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK F02230673)
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
TEDROS ABBAY ASFAHA APRN
1500 N 22ND ST
BROKEN ARROW, OK 74012-2319
Phone number: 918-640-5088
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Mailing Address
TEDROS ABBAY ASFAHA APRN
1500 N 22ND ST
BROKEN ARROW, OK 74012-2319
Phone number: 918-640-5088
Copy
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