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1770875122
ESAYAS TEKLE
BALTIMORE, MD
NPI
1770875122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0004355)
Enumeration Date
2011-05-04
Last Update Date
2011-05-04
Business Address
-- ESAYAS TEKLE PA-C
827 LINDEN AVE
BALTIMORE, MD 21201-4606
Phone number: 410-225-8000
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Mailing Address
-- ESAYAS TEKLE PA-C
PO BOX 64522
BALTIMORE, MD 21264-4522
Phone number:
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