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1518378389
TIFFANY THOMAS
JACKSON, MS
NPI
1518378389
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Former Name
TIFFANY MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R876036)
Enumeration Date
2014-05-15
Last Update Date
2015-07-15
Business Address
-- TIFFANY THOMAS NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5678
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Mailing Address
-- TIFFANY THOMAS NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5678
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