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1164822649
TIFFANY RENEE COMERIE
LAUDERDALE LAKES, FL
NPI
1164822649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: FL PA9108164)
Enumeration Date
2014-09-03
Last Update Date
2014-09-18
Business Address
TIFFANY RENEE COMERIE PA
5000 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL 33313-1503
Phone number: 954-263-7262
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Mailing Address
TIFFANY RENEE COMERIE PA
6122 GRAND CYPRESS CIR E
COCONUT CREEK, FL 33073-2343
Phone number: 954-263-7262
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