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1972636843
TIA L JANICKI
MOBILE, AL
NPI
1972636843
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Former Name
TIA L CHIRICO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA.1780)
Enumeration Date
2007-03-13
Last Update Date
2021-09-15
Business Address
Mrs. TIA L JANICKI PA-C
70 MIDTOWN PARK E
MOBILE, AL 36606-4140
Phone number: 251-289-1786
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Mailing Address
Mrs. TIA L JANICKI PA-C
70 MIDTOWN PARK E
MOBILE, AL 36606-4140
Phone number: 251-289-1786
Copy
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