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1013481597
TIFFANY POWELL
MEMPHIS, TN
NPI
1013481597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TN 749)
Additional Taxonomies
174400000X Specialist
(Licence: MS 598)
Enumeration Date
2019-01-17
Last Update Date
2023-07-27
Business Address
TIFFANY POWELL H.IS
4515 POPLAR AVE STE 108-B
MEMPHIS, TN 38117-7503
Phone number: 901-767-3045
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Mailing Address
TIFFANY POWELL H.IS
679 S MENDENHALL RD
MEMPHIS, TN 38117-5212
Phone number: 901-767-3045
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