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1972741692
TIFFANY NICOLE COLVIN
JACKSONVILLE, FL
NPI
1972741692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9104910)
Enumeration Date
2009-02-03
Last Update Date
2020-01-28
Business Address
TIFFANY NICOLE COLVIN PA
7016 NORMANDY BLVD
JACKSONVILLE, FL 32205-6206
Phone number: 904-783-9428
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Mailing Address
TIFFANY NICOLE COLVIN PA
7016 NORMANDY BLVD
JACKSONVILLE, FL 32205-6206
Phone number: 904-783-9428
Copy
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