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1750702288
TIFFANY J FRASURE
HENDERSON, NV
NPI
1750702288
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Former Name
TIFFANY J BATES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NV PA1478)
Enumeration Date
2013-12-31
Last Update Date
2017-02-02
Business Address
TIFFANY J FRASURE PA-C
2845 SIENA HEIGHTS DR
HENDERSON, NV 89052-4153
Phone number: 702-617-1227
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Mailing Address
TIFFANY J FRASURE PA-C
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 702-617-1227
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