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1700581295
TSGIE KIDANEMARIAM HAILU
CHANTILLY, VA
NPI
1700581295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VA 0002099256)
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
TSGIE KIDANEMARIAM HAILU LPN
4213 WALNEY RD
CHANTILLY, VA 20151-2923
Phone number: 703-502-7000
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Mailing Address
TSGIE KIDANEMARIAM HAILU LPN
2916 DOVER LN APT 204
FALLS CHURCH, VA 22042-2916
Phone number: 703-884-6197
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