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1942560420
KIDIST SEYOUM
DECATUR, GA
NPI
1942560420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA 175484)
Enumeration Date
2012-05-18
Last Update Date
2012-05-18
Business Address
-- KIDIST SEYOUM RN
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-294-3821
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Mailing Address
-- KIDIST SEYOUM RN
445 WINN WAY PO BOX 987
DECATUR, GA 30030-1707
Phone number: 404-294-3821
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