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1922480599
TIFFANY LILES
JACKSONVILLE, FL
NPI
1922480599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN9457993)
Enumeration Date
2015-06-19
Last Update Date
2020-05-07
Business Address
TIFFANY LILES APRN
10151 DEERWOOD PARK BLVD
JACKSONVILLE, FL 32256-0566
Phone number: 904-252-6284
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Mailing Address
TIFFANY LILES APRN
7406 FULLERTON ST STE 105
JACKSONVILLE, FL 32256-3588
Phone number: 778-684-8278
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