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1205451705
TIFFANY VARELA KHAN
DAYTONA BEACH, FL
NPI
1205451705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11007446)
Enumeration Date
2020-06-10
Last Update Date
2020-09-08
Business Address
TIFFANY VARELA KHAN APRN
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-2733
Phone number: 386-238-3200
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Mailing Address
TIFFANY VARELA KHAN APRN
PO BOX 9671
DAYTONA BEACH, FL 32120-9671
Phone number: 386-676-7130
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