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1598367328
TIFANI BAISDEN
MACOMB, MI
NPI
1598367328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704305401)
Enumeration Date
2020-11-16
Last Update Date
2021-05-14
Business Address
TIFANI BAISDEN
48332 STAPLETON AVE
MACOMB, MI 48042-5193
Phone number: 586-260-8097
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Mailing Address
TIFANI BAISDEN
48332 STAPLETON AVE
MACOMB, MI 48042-5193
Phone number: 586-260-8097
Copy
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