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1417445107
BETHLEHEM ADDIS
FORT LIBERTY, NC
NPI
1417445107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R203814)
Enumeration Date
2018-04-27
Last Update Date
2024-02-25
Business Address
BETHLEHEM ADDIS NP
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-6000
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Mailing Address
BETHLEHEM ADDIS NP
11105 FLANAGAN LN
GERMANTOWN, MD 20876-1748
Phone number: 240-543-1385
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