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1023278405
TIFFANY KAMILE MENDEZ
ELK CITY, OK
NPI
1023278405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-06-10
Last Update Date
2008-06-10
Business Address
-- TIFFANY KAMILE MENDEZ
3080 W 3RD ST
ELK CITY, OK 73644-4323
Phone number: 580-225-5136
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Mailing Address
-- TIFFANY KAMILE MENDEZ
PO BOX 2433
ELK CITY, OK 73648-2433
Phone number: 580-799-1513
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