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1407504582
TIFFANY WISE
REIDSVILLE, NC
NPI
1407504582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5015934)
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
TIFFANY WISE NP
1352 W HARRISON ST
REIDSVILLE, NC 27320-2606
Phone number: 336-342-3338
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Mailing Address
TIFFANY WISE NP
1352 W HARRISON ST
REIDSVILLE, NC 27320-2606
Phone number:
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