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1437447190
TIFFANY KAE PROFSKY
SALT LAKE CITY, UT
NPI
1437447190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 4731862-4405)
Enumeration Date
2011-07-15
Last Update Date
2011-07-15
Business Address
-- TIFFANY KAE PROFSKY NP-C
295 CHIPETA WAY
SALT LAKE CITY, UT 84108-1287
Phone number: 801-587-7416
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Mailing Address
-- TIFFANY KAE PROFSKY NP-C
295 CHIPETA WAY
SALT LAKE CITY, UT 84108-1287
Phone number: 801-587-7416
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