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1417216193
TIFFANY MARIE ELLIS
DURHAM, NC
NPI
1417216193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NC 5005600)
Enumeration Date
2012-05-15
Last Update Date
2019-09-24
Business Address
TIFFANY MARIE ELLIS NP
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
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Mailing Address
TIFFANY MARIE ELLIS NP
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
Copy
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