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Individual
TIFFANY NICOLE PARKER
Active
Individual
TIFFANY NICOLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
150146
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150146
OHIO BOARD OF NURSING
OH
Enumeration date
11/15/2012
Last updated
02/23/2013
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