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1083001325
TIFFANY RENAE SAMPLES
CAPE GIRARDEAU, MO
NPI
1083001325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2018011099)
Enumeration Date
2015-04-24
Last Update Date
2021-06-02
Business Address
Dr. TIFFANY RENAE SAMPLES DO
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703-5049
Phone number: 573-331-5770
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Mailing Address
Dr. TIFFANY RENAE SAMPLES DO
PO BOX 801143
KANSAS CITY, MO 64180-1143
Phone number: 573-331-5583
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