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Individual
TIFFANY N BYNUM
Active
Individual
TIFFANY N BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785152
TX
363LF0000X
Family Nurse Practitioner
Primary
1002612
TX
Other
Enumeration date
04/06/2019
Last updated
11/15/2024
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