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1396057717
TIFFANY L PAUL
URBANA, IL
NPI
1396057717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209008164)
Enumeration Date
2010-07-14
Last Update Date
2014-05-08
Business Address
-- TIFFANY L PAUL NP
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-3800
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Mailing Address
-- TIFFANY L PAUL NP
611 W PARK ST BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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