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1801312947
ETSUB NEGUSSIE HAILESELASSIE
GARLAND, TX
NPI
1801312947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085B0100X Radiology, Body Imaging
(Licence: TX 454534)
Enumeration Date
2017-08-21
Last Update Date
2019-04-30
Business Address
ETSUB NEGUSSIE HAILESELASSIE
1702 ARBOR CREEK DR.
GARLAND, TX 75040
Phone number: 469-269-7259
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Mailing Address
ETSUB NEGUSSIE HAILESELASSIE
1702 ARBOR CREEK DR
GARLAND, TX 75040-8912
Phone number:
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