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1881132439
MAHELET MAMO
WOODBRIDGE, VA
NPI
1881132439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024174476)
Enumeration Date
2017-02-03
Last Update Date
2017-02-03
Business Address
-- MAHELET MAMO
2374 BATTERY HILL CIR
WOODBRIDGE, VA 22191-6514
Phone number: 703-338-9490
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Mailing Address
-- MAHELET MAMO
2374 BATTERY HILL CIR
WOODBRIDGE, VA 22191-6514
Phone number: 703-338-9490
Copy
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