DEMITU BAISSA-TESFAHUN

ELK RIVER, MN
NPI1477287282
Former NameDEMITU GEMEDA BAISSA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MN  9305)
Enumeration Date2022-07-16
Last Update Date2022-10-17
Business Address
DEMITU BAISSA-TESFAHUN
14181 BUSINESS CENTER DR NW
ELK RIVER, MN 55330-4654
Phone number: 763-236-0500
Mailing Address
DEMITU BAISSA-TESFAHUN
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-9000
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