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1114582566
TIFFANY LINN MCCLENDON
PALESTINE, TX
NPI
1114582566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP143317)
Enumeration Date
2019-05-01
Last Update Date
2019-10-03
Business Address
TIFFANY LINN MCCLENDON
2900 S LOOP 256
PALESTINE, TX 75801-6958
Phone number: 903-731-1000
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Mailing Address
TIFFANY LINN MCCLENDON
6675 FM 2419
PALESTINE, TX 75801-5560
Phone number: 903-948-6405
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