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1841553096
TAMIRU DUBALE LAWGAW
BALTIMORE, MD
NPI
1841553096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MD C0004732)
Enumeration Date
2012-06-22
Last Update Date
2012-08-24
Business Address
Mr. TAMIRU DUBALE LAWGAW PA
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-2454
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Mailing Address
Mr. TAMIRU DUBALE LAWGAW PA
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-328-7604
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