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1336797117
TIFFANY DAWN TAYLOR
GRAND JUNCTION, CO
NPI
1336797117
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Former Name
TIFFANY DAWN PETERSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0006832)
Enumeration Date
2019-08-26
Last Update Date
2024-10-17
Business Address
TIFFANY DAWN TAYLOR MPA
3150 N 12TH ST
GRAND JUNCTION, CO 81506-2863
Phone number: 970-256-5201
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Mailing Address
TIFFANY DAWN TAYLOR MPA
PO BOX 10700
GRAND JUNCTION, CO 81502-5517
Phone number: 970-254-2642
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