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1790459212
TIFFANY LOPEZ
CONVERSE, TX
NPI
1790459212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1052505)
Enumeration Date
2021-08-07
Last Update Date
2021-12-02
Business Address
Mrs. TIFFANY LOPEZ Acnpc-ag
7585 KITTY HAWK RD STE 201
CONVERSE, TX 78109-2820
Phone number: 210-468-2333
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Mailing Address
Mrs. TIFFANY LOPEZ Acnpc-ag
7585 KITTY HAWK RD STE 201
CONVERSE, TX 78109-2820
Phone number: 210-468-2333
Copy
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