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1790491983
TIFFANY TA
MINNETONKA, MN
NPI
1790491983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61398231)
Enumeration Date
2023-01-30
Last Update Date
2023-04-07
Business Address
TIFFANY TA FNP-C
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 206-552-4441
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Mailing Address
TIFFANY TA FNP-C
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number:
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