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1568839736
ADDIS ABERA
PHOENIX, AZ
NPI
1568839736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP049629)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- ADDIS ABERA
3822 E WINDSONG DR
PHOENIX, AZ 85048-7915
Phone number: 480-753-4479
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Mailing Address
-- ADDIS ABERA
3822 E WINDSONG DR
PHOENIX, AZ 85048-7915
Phone number:
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