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1114270105
TIFFANY D LANNAN
MORGANTOWN, WV
NPI
1114270105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 63861)
Enumeration Date
2012-10-16
Last Update Date
2012-10-16
Business Address
-- TIFFANY D LANNAN CFNP
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-6127
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Mailing Address
-- TIFFANY D LANNAN CFNP
PO BOX 780
MORGANTOWN, WV 26507-0780
Phone number: 304-285-7101
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