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1518607936
MAHILET FEKADU ASSEFA
PEORIA, IL
NPI
1518607936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: IL 00000)
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
Dr. MAHILET FEKADU ASSEFA MD
624 NE GLEN OAK AVENUE
PEORIA, IL 61603
Phone number: 309-655-4775
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Mailing Address
Dr. MAHILET FEKADU ASSEFA MD
16 NORTH AVE
BOSTON, MA 02119-3360
Phone number: 617-372-2240
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