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1093803157
TIFFANY CHRISTIANSEN
IDAHO FALLS, ID
NPI
1093803157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA 623)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- TIFFANY CHRISTIANSEN PA
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402-3653
Phone number: 208-528-5892
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Mailing Address
-- TIFFANY CHRISTIANSEN PA
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402-3653
Phone number: 208-528-5892
Copy
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