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1982323200
YONAS AITENEW ADDISU
STAUNTON, VA
NPI
1982323200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024184857)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
YONAS AITENEW ADDISU
103 VALLEY CENTER DR
STAUNTON, VA 24401-5080
Phone number: 540-332-8000
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Mailing Address
YONAS AITENEW ADDISU
88 HULL HILLS LN
STAUNTON, VA 24401-5784
Phone number: 540-457-6247
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