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1205335700
TYA TAMEKA INNISS
HORSHAM, PA
NPI
1205335700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP018454)
Enumeration Date
2018-02-09
Last Update Date
2018-04-26
Business Address
TYA TAMEKA INNISS CRNP
680 BLAIR MILL RD
HORSHAM, PA 19044-2223
Phone number: 215-392-2744
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Mailing Address
TYA TAMEKA INNISS CRNP
680 BLAIR MILL RD
HORSHAM, PA 19044-2223
Phone number:
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