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1972237535
ASGEDOM HAILEKEROSS WOLDETEKLE
FEDERAL WAY, WA
NPI
1972237535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN60716086)
Enumeration Date
2022-07-11
Last Update Date
2022-07-11
Business Address
ASGEDOM HAILEKEROSS WOLDETEKLE
29850 18TH AVE S
FEDERAL WAY, WA 98003-4202
Phone number:
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Mailing Address
ASGEDOM HAILEKEROSS WOLDETEKLE
29850 18TH AVE S
FEDERAL WAY, WA 98003-4202
Phone number: 913-485-1679
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