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1508631599
BISRAT MICAEL MENGISTU
HERMITAGE, TN
NPI
1508631599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 35261)
Enumeration Date
2023-11-20
Last Update Date
2024-03-14
Business Address
BISRAT MICAEL MENGISTU FNP-C
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076-2576
Phone number: 615-515-0029
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Mailing Address
BISRAT MICAEL MENGISTU FNP-C
5544 OLD HICKORY BLVD
HERMITAGE, TN 37076-2576
Phone number: 615-515-0029
Copy
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