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1013686187
TIFFANY MARSHALL FAIRBANKS
DALLAS, TX
NPI
1013686187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1329850)
Enumeration Date
2021-09-10
Last Update Date
2021-09-10
Business Address
Mrs. TIFFANY MARSHALL FAIRBANKS PT
10233 E NORTHWEST HWY STE 410
DALLAS, TX 75238-4430
Phone number: 469-221-9203
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Mailing Address
Mrs. TIFFANY MARSHALL FAIRBANKS PT
9719 SHADYDALE LN
DALLAS, TX 75238-4232
Phone number: 214-557-2544
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