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1801294731
TIFFANY RAMIREZ-ICAZA
LOUISVILLE, KY
NPI
1801294731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3008983)
Enumeration Date
2014-12-09
Last Update Date
2021-05-24
Business Address
TIFFANY RAMIREZ-ICAZA APRN
716 W BROADWAY
LOUISVILLE, KY 40202-2216
Phone number: 502-595-7744
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Mailing Address
TIFFANY RAMIREZ-ICAZA APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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