TIFFANY STORK

SPRINGFIELD, IL
NPI1609274877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209012504)
Enumeration Date2014-12-19
Last Update Date2015-01-28
Business Address
-- TIFFANY STORK CRNA
800 E CARPENTER ST
SPRINGFIELD, IL 62702-5324
Phone number: 217-525-5643
Mailing Address
-- TIFFANY STORK CRNA
800 E CARPENTER ST
SPRINGFIELD, IL 62702-5324
Phone number: 217-525-5643
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