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1477273787
TIFFANY WISE
SPRING VALLEY, NY
NPI
1477273787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 341330)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
TIFFANY WISE
42 N MAIN ST
SPRING VALLEY, NY 10977-4906
Phone number: 844-828-2666
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Mailing Address
TIFFANY WISE
3 ERIE MAINE LANE
HENRIETTA, NY 14467
Phone number:
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