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1114003092
THOMAS JAMES TIEFFENBACHER
MANKATO, MN
NPI
1114003092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MN LP1176)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Mr. THOMAS JAMES TIEFFENBACHER M.A.,L.P.
801 N. 2ND STREET SUITE 102
MANKATO, MN 56001-3373
Phone number: 507-381-7829
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Mailing Address
Mr. THOMAS JAMES TIEFFENBACHER M.A.,L.P.
417 11TH ST S
SAINT JAMES, MN 56081-2158
Phone number: 507-375-7405
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