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1740889609
HAIMANOT MULAT
BALTIMORE, MD
NPI
1740889609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R189408)
Enumeration Date
2020-10-21
Last Update Date
2022-01-27
Business Address
HAIMANOT MULAT NP
1245 EASTERN BLVD
BALTIMORE, MD 21221-3422
Phone number: 410-558-4700
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Mailing Address
HAIMANOT MULAT NP
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 410-550-0255
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