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1578920906
TIA TYREEN FAIRLEY
DAYTON, OH
NPI
1578920906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 152452)
Enumeration Date
2016-01-14
Last Update Date
2016-01-14
Business Address
-- TIA TYREEN FAIRLEY LPN
1202 W RIVERVIEW AVE
DAYTON, OH 45402-6430
Phone number: 937-813-5928
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Mailing Address
-- TIA TYREEN FAIRLEY LPN
1202 W RIVERVIEW AVE
DAYTON, OH 45402-6430
Phone number: 937-813-5928
Copy
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