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1225520505
TIFFANY RENAE' WADE
TYLER, TX
NPI
1225520505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP135663)
Enumeration Date
2018-06-03
Last Update Date
2023-06-28
Business Address
TIFFANY RENAE' WADE NP-C
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-593-8441
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Mailing Address
TIFFANY RENAE' WADE NP-C
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-593-8441
Copy
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