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1922724897
ANTENEH T BIRHANU
ALEXANDRIA, VA
NPI
1922724897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 12345678)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
ANTENEH T BIRHANU
1800 N BEAUREGARD ST
ALEXANDRIA, VA 22311-1735
Phone number: 703-680-2111
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Mailing Address
ANTENEH T BIRHANU
8714 WADEBROOK TER
SPRINGFIELD, VA 22153-3417
Phone number: 571-289-8027
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