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1578950119
BEREKET T WOLDEMARIAM
LIBERAL, KS
NPI
1578950119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 1501810)
Enumeration Date
2015-04-21
Last Update Date
2017-03-08
Business Address
Mr. BEREKET T WOLDEMARIAM PA-C
315 W 15TH ST
LIBERAL, KS 67901-2455
Phone number: 620-629-6477
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Mailing Address
Mr. BEREKET T WOLDEMARIAM PA-C
PO BOX 1215 ATTN CLINIC BILLING OFFICE
LIBERAL, KS 67905-1215
Phone number: 620-629-6638
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