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1235595067
TIFFANIE DAI
STOCKTON, CA
NPI
1235595067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004034)
Enumeration Date
2016-01-08
Last Update Date
2016-04-01
Business Address
-- TIFFANIE DAI FNP
4719 QUAIL LAKES DR STE G PMB#274
STOCKTON, CA 95207-5267
Phone number: 209-952-2633
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Mailing Address
-- TIFFANIE DAI FNP
4719 QUAIL LAKES DR STE G TIFFANIE DAI PMB# 274
STOCKTON, CA 95207-5267
Phone number:
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