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1760908123
TYNISHA NICOLE DAVIS
PHILADELPHIA, PA
NPI
1760908123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP017201)
Enumeration Date
2017-08-17
Last Update Date
2017-08-17
Business Address
TYNISHA NICOLE DAVIS FNP-BC
4190 CITY AVE
PHILADELPHIA, PA 19131-1626
Phone number: 866-453-8800
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Mailing Address
TYNISHA NICOLE DAVIS FNP-BC
1130 MYRTLEWOOD AVE
HAVERTOWN, PA 19083-5203
Phone number: 484-469-1477
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