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1124490008
TIFFANY HERMAN DIESO
DURHAM, NC
NPI
1124490008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NC 246947)
Enumeration Date
2015-10-30
Last Update Date
2021-04-06
Business Address
TIFFANY HERMAN DIESO AGACNP-BC
40 MEDICINE CIR
DURHAM, NC 27710-0001
Phone number: 919-385-7941
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Mailing Address
TIFFANY HERMAN DIESO AGACNP-BC
5213 S ALSTON AVE
DURHAM, NC 27713-4430
Phone number: 919-620-4855
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