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1407333115
TIFFANY BRUSH
LAGRANGE, GA
NPI
1407333115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN220871)
Enumeration Date
2018-07-25
Last Update Date
2019-12-20
Business Address
Ms. TIFFANY BRUSH NP-C
1555 DOCTORS DR STE 101
LAGRANGE, GA 30240-4132
Phone number: 706-242-5201
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Mailing Address
Ms. TIFFANY BRUSH NP-C
1555 DOCTORS DR
LAGRANGE, GA 30240-4132
Phone number: 706-242-5201
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