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1730290875
ANTENEH ADDISU MD PA
OCALA, FL
NPI
1730290875
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Entity Type
Organization
Authorized Contact
ANTENEH ADDISU
Owner
352-362-6104
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME75316)
Enumeration Date
2006-08-31
Last Update Date
2008-04-20
Business Address
ANTENEH ADDISU MD PA
1431 SW 1ST AVE
OCALA, FL 34471-6500
Phone number: 352-632-6104
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Mailing Address
ANTENEH ADDISU MD PA
PO BOX 3716
OCALA, FL 34478-3716
Phone number: 352-632-6104
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