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1376276881
BEZAWIT FISSAHA
FALLS CHURCH, VA
NPI
1376276881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024184375)
Enumeration Date
2022-07-03
Last Update Date
2022-07-03
Business Address
BEZAWIT FISSAHA
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-4001
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Mailing Address
BEZAWIT FISSAHA
6102 THOMAS DR
SPRINGFIELD, VA 22150-1348
Phone number: 571-594-0793
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