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1285493510
GEDAMNEH FANTAYE
ARLINGTON, TX
NPI
1285493510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
Dr. GEDAMNEH FANTAYE MD
3301 MATLOCK RD
ARLINGTON, TX 76015-2908
Phone number: 817-983-3024
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Mailing Address
Dr. GEDAMNEH FANTAYE MD
937 WHITTMORE DR
NOLENSVILLE, TN 37135-2915
Phone number:
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