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1285279612
TIFFANY NICOLE RENFRO
SPRINGFIELD, IL
NPI
1285279612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209020230)
Enumeration Date
2019-11-08
Last Update Date
2024-11-07
Business Address
TIFFANY NICOLE RENFRO FNP-C
800 N 1ST ST
SPRINGFIELD, IL 62702-3778
Phone number: 217-528-7541
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Mailing Address
TIFFANY NICOLE RENFRO FNP-C
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number:
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