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1124548599
TIA M. EXLINE
WINSTON SALEM, NC
NPI
1124548599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5009616)
Enumeration Date
2017-06-26
Last Update Date
2017-06-26
Business Address
TIA M. EXLINE NP
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103-4007
Phone number: 336-765-0383
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Mailing Address
TIA M. EXLINE NP
2 OAK RIDGE DR
THOMASVILLE, NC 27360-3259
Phone number: 336-689-4749
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