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1790011591
ABAYNEH ERMIAS WELDETSADIK
HERNDON, VA
NPI
1790011591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024184586)
Enumeration Date
2009-10-29
Last Update Date
2022-07-29
Business Address
Dr. ABAYNEH ERMIAS WELDETSADIK Nurse Practitioner
1062 ELDEN ST
HERNDON, VA 20170-3803
Phone number: 703-471-7000
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Mailing Address
Dr. ABAYNEH ERMIAS WELDETSADIK Nurse Practitioner
43608 WHITE CAP TER
CHANTILLY, VA 20152-5802
Phone number: 585-750-7024
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