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Individual
TIFFANY HUMPHREYS ROSE
Active
Individual
TIFFANY HUMPHREYS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
193407
NC
Other
Enumeration date
10/02/2013
Last updated
02/12/2015
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