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1811402803
WONGELAWIT TESFAYE BELAYNEH
LAWRENCEVILLE, GA
NPI
1811402803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: GA RN212141)
Enumeration Date
2017-12-12
Last Update Date
2019-01-25
Business Address
WONGELAWIT TESFAYE BELAYNEH AG-ACNP
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046-8765
Phone number: 770-736-6300
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Mailing Address
WONGELAWIT TESFAYE BELAYNEH AG-ACNP
435 NAPA VALLEY LN
LAWRENCEVILLE, GA 30045-7839
Phone number:
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