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Individual
TIFFANY DAWN BURKE
Active
Individual
TIFFANY DAWN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R0084153
OK
363LF0000X
Family Nurse Practitioner
AP115719
TX
Other
Enumeration date
11/03/2006
Last updated
04/23/2020
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