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1053664946
TIFFANY A THIEKEN
DURHAM, NC
NPI
1053664946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC 215128)
Enumeration Date
2012-10-17
Last Update Date
2013-04-15
Business Address
-- TIFFANY A THIEKEN
1301 FAYETTEVILLE ST
DURHAM, NC 27707-2325
Phone number: 919-956-4000
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Mailing Address
-- TIFFANY A THIEKEN
PO BOX 52119
DURHAM, NC 27717-2119
Phone number:
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