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1427667310
TIFFANY SCHACK
JOHNSON CITY, TN
NPI
1427667310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 26726)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
TIFFANY SCHACK
701 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-3645
Phone number: 423-232-7600
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Mailing Address
TIFFANY SCHACK
197 CD WILLIAMS RD
TELFORD, TN 37690-2101
Phone number:
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