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1154576981
TIFFANY ELAINE SMITH
LOUISVILLE, KY
NPI
1154576981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA1075)
Enumeration Date
2008-11-20
Last Update Date
2016-08-05
Business Address
-- TIFFANY ELAINE SMITH PA
2301 TERRA CROSSING BLVD SUITE 103
LOUISVILLE, KY 40245-4994
Phone number: 502-410-0191
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Mailing Address
-- TIFFANY ELAINE SMITH PA
2301 TERRA CROSSING BLVD STE 103
LOUISVILLE, KY 40245-4994
Phone number: 502-410-0191
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