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1033677885
TIFFANY WILSON WADE
FOLEY, AL
NPI
1033677885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-134555)
Enumeration Date
2019-03-11
Last Update Date
2020-11-13
Business Address
TIFFANY WILSON WADE NP
22394 MIFLIN RD STE 203
FOLEY, AL 36535-9593
Phone number: 251-943-3622
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Mailing Address
TIFFANY WILSON WADE NP
22394 MIFLIN RD STE 203
FOLEY, AL 36535-9593
Phone number: 251-943-3622
Copy
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