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1134590953
TIFFANY CLARK
FAYETTEVILLE, AR
NPI
1134590953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
-- TIFFANY CLARK
4253 CROSSOVER RD.
FAYETTEVILLE, AR 72703
Phone number: 479-464-5925
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Mailing Address
-- TIFFANY CLARK
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-464-5925
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