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1124314026
TIFFANY EDWALL
TAMPA, FL
NPI
1124314026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH 100055)
Enumeration Date
2011-06-20
Last Update Date
2016-08-09
Business Address
-- TIFFANY EDWALL D.C.
4247 W KENNEDY BLVD
TAMPA, FL 33609-2230
Phone number: 813-289-5575
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Mailing Address
-- TIFFANY EDWALL D.C.
4800 4TH ST N
SAINT PETERSBURG, FL 33703-3817
Phone number: 727-528-1133
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