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1558124099
ADDISALEM BELETE GURARA
FAR ROCKAWAY, NY
NPI
1558124099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
ADDISALEM BELETE GURARA MD
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7672
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Mailing Address
ADDISALEM BELETE GURARA MD
2765 FORREST ST
SACRAMENTO, CA 95815-1618
Phone number: 279-216-9385
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