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1023673829
TIPHANY ILLYES
LEAGUE CITY, TX
NPI
1023673829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: TX L-21945)
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
TIPHANY ILLYES ibclc
676 FOUNTAIN VIEW LN
LEAGUE CITY, TX 77573-1971
Phone number: 832-221-5900
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Mailing Address
TIPHANY ILLYES ibclc
676 FOUNTAIN VIEW LN
LEAGUE CITY, TX 77573-1971
Phone number: 832-221-5900
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