DANIEL WELDETENSAE GEBRESILASSIE

PLAINFIELD, IN
NPI1992582761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  A28206125)
Enumeration Date2023-09-13
Last Update Date2023-09-13
Business Address
DANIEL WELDETENSAE GEBRESILASSIE
3584 PENNSWOOD CT
PLAINFIELD, IN 46168-7878
Phone number: 463-999-4054
Mailing Address
DANIEL WELDETENSAE GEBRESILASSIE
3584 PENNSWOOD CT
PLAINFIELD, IN 46168-7878
Phone number: 463-999-4054
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