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1366835050
ISRAEL TARIKU HABTAMU
ATLANTA, GA
NPI
1366835050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA 196041)
Enumeration Date
2015-03-05
Last Update Date
2015-03-05
Business Address
-- ISRAEL TARIKU HABTAMU NP
550 PEACHTREE ST NE
ATLANTA, GA 30308-2208
Phone number: 404-686-1000
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Mailing Address
-- ISRAEL TARIKU HABTAMU NP
550 PEACHTREE ST NE
ATLANTA, GA 30308-2208
Phone number:
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