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1073017158
TIFFANY ALEXANDER
FT POLK, LA
NPI
1073017158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
TIFFANY ALEXANDER
1561 MISSISSIPPI AVE
FT POLK, LA 71459
Phone number: 337-531-2121
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Mailing Address
TIFFANY ALEXANDER
234 STANLEY RD
LEESVILLE, LA 71446-2134
Phone number: 337-424-7904
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