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1710658950
TIFFANY BURKS
HAZEL CREST, IL
NPI
1710658950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043090801)
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
TIFFANY BURKS
3300 175TH ST
HAZEL CREST, IL 60429-1604
Phone number: 708-654-6921
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Mailing Address
TIFFANY BURKS
3300 175TH ST
HAZEL CREST, IL 60429-1604
Phone number: 708-654-6921
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