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1538940887
TIFFANY SMAHA
ROCKFORD, IL
NPI
1538940887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209028383)
Enumeration Date
2023-10-12
Last Update Date
2024-04-01
Business Address
TIFFANY SMAHA APN
401 ROXBURY RD
ROCKFORD, IL 61107-5078
Phone number: 815-397-7340
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Mailing Address
TIFFANY SMAHA APN
401 ROXBURY RD
ROCKFORD, IL 61107-5078
Phone number: 815-397-7340
Copy
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