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1912322371
MEKEDESE TESFAYE
WAYCROSS, GA
NPI
1912322371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: GA 006805)
Enumeration Date
2014-02-21
Last Update Date
2014-02-21
Business Address
MEKEDESE TESFAYE PA-C
1617 SATILLA BLVD
WAYCROSS, GA 31501-5027
Phone number: 404-642-7838
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Mailing Address
MEKEDESE TESFAYE PA-C
3275 HARRIS RD
WAYCROSS, GA 31503-8956
Phone number: 912-287-5801
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