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1417528225
HAILEGIORGIS T. BIZUNEH
GLEN ALLEN, VA
NPI
1417528225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024181571)
Enumeration Date
2021-07-03
Last Update Date
2024-02-20
Business Address
HAILEGIORGIS T. BIZUNEH
11551 NUCKOLS RD STE P
GLEN ALLEN, VA 23059-5565
Phone number: 804-593-5935
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Mailing Address
HAILEGIORGIS T. BIZUNEH
11551 NUCKOLS RD STE P
GLEN ALLEN, VA 23059-5565
Phone number: 804-593-5935
Copy
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