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1700593811
TEDBABEWORK M AYELE
MINNEAPOLIS, MN
NPI
1700593811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MN 9622)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
TEDBABEWORK M AYELE
324 E 35TH ST
MINNEAPOLIS, MN 55408-4580
Phone number: 612-827-7181
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Mailing Address
TEDBABEWORK M AYELE
2168 QUAIL CREEK PKWY NE
BLAINE, MN 55449-3901
Phone number: 612-296-2757
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