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1619288339
KIDANU BIRHANU MD SC
DYER, IN
NPI
1619288339
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Entity Type
Organization
Authorized Contact
KIDANU BIRHANU
Owner
708-334-2352
Organization Subpart ?
No
Primary Taxonomy
261Q00000X
(Licence: IN 01066132A)
Enumeration Date
2010-06-28
Last Update Date
2010-06-28
Business Address
KIDANU BIRHANU MD SC
24 JOLIET ST SUITE 302
DYER, IN 46311-1705
Phone number: 219-852-2518
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Mailing Address
KIDANU BIRHANU MD SC
PO BOX 394
DYER, IN 46311-0394
Phone number: 708-334-2352
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