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1811725021
HAWI FANTAYE
PORTLAND, OR
NPI
1811725021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: OR 202108059RN)
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
HAWI FANTAYE RN, BSN
2327 SE 157TH AVE
PORTLAND, OR 97233-3707
Phone number: 813-407-6718
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Mailing Address
HAWI FANTAYE RN, BSN
2327 SE 157TH AVE
PORTLAND, OR 97233-3707
Phone number: 813-407-6718
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