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1912397613
KIDANE TESSEMA
DALLAS, TX
NPI
1912397613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP126837)
Enumeration Date
2015-02-02
Last Update Date
2019-05-01
Business Address
KIDANE TESSEMA
7929 BROOKRIVER DR STE 180
DALLAS, TX 75247-4920
Phone number: 214-525-0681
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Mailing Address
KIDANE TESSEMA
1718 N JUPITER RD APT 2136
GARLAND, TX 75042-8625
Phone number: 214-404-5238
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