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Individual

DR. NORMA LEE TIERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2441 RT 46 SOUTH, JEFFERSON, OH 44047-8509
(440) 576-7447
(440) 576-7447
Mailing address
2441 RT 46 SOUTH, JEFFERSON, OH 44047-8509
(440) 576-7447
(440) 576-7447

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
568
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000115425
ANTHEM BCBS
05
0351122
OH
Enumeration date
01/25/2007
Last updated
07/08/2007
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