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1114201068
TIFFANY B GRAY
SELMER, TN
NPI
1114201068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN16100)
Enumeration Date
2011-10-10
Last Update Date
2019-03-15
Business Address
TIFFANY B GRAY FNP
270 E COURT AVE STE B
SELMER, TN 38375-2304
Phone number: 731-645-7932
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Mailing Address
TIFFANY B GRAY FNP
270 E COURT AVE
SELMER, TN 38375-2304
Phone number: 731-645-7932
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