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1003389875
TIFFANY KAYLA AUTRY
LAS CRUCES, NM
NPI
1003389875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: NM 54435)
Enumeration Date
2019-01-04
Last Update Date
2024-12-30
Business Address
Dr. TIFFANY KAYLA AUTRY DNP FNP MEP-C
1005 S TELSHOR BLVD STE A
LAS CRUCES, NM 88011-4879
Phone number: 575-262-7546
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Mailing Address
Dr. TIFFANY KAYLA AUTRY DNP FNP MEP-C
PO BOX 871
LAS CRUCES, NM 88004-0871
Phone number: 409-719-8846
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