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1942610829
FREHIWOT DERSO
DECATUR, GA
NPI
1942610829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN138235)
Enumeration Date
2014-05-01
Last Update Date
2014-05-01
Business Address
FREHIWOT DERSO RN
445 WINN WAY SUITE 150
DECATUR, GA 30030-1707
Phone number: 404-294-3813
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Mailing Address
FREHIWOT DERSO RN
445 WINN WAY SUITE 150
DECATUR, GA 30030-1707
Phone number: 404-294-3813
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