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1699054056
TIA OH
SOUTHBRIDGE, MA
NPI
1699054056
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Former Name
TIA YANG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MA RN2264812)
Enumeration Date
2011-08-16
Last Update Date
2018-02-23
Business Address
TIA OH NP
100 SOUTH ST
SOUTHBRIDGE, MA 01550-4051
Phone number: 508-765-9771
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Mailing Address
TIA OH NP
PO BOX 40
SOUTHBRIDGE, MA 01550-0040
Phone number: 508-909-7799
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