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1316922339
JACKIE TANNER GRIFFIN
GREENSBORO, NC
NPI
1316922339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 900292)
Enumeration Date
2005-12-13
Last Update Date
2015-06-08
Business Address
-- JACKIE TANNER GRIFFIN NP
3803 N ELM ST
GREENSBORO, NC 27455-2593
Phone number: 336-540-7075
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Mailing Address
-- JACKIE TANNER GRIFFIN NP
3803 N ELM ST
GREENSBORO, NC 27455-2593
Phone number: 336-540-7075
Copy
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