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1255921425
TIFFANY LYNN FREDERICK
DANVILLE, PA
NPI
1255921425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN654149)
Enumeration Date
2021-01-21
Last Update Date
2021-07-13
Business Address
TIFFANY LYNN FREDERICK CRNA
100 N ACADEMY AVE
DANVILLE, PA 17822-0001
Phone number: 570-271-6434
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Mailing Address
TIFFANY LYNN FREDERICK CRNA
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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