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1164527057
TIFFANY SANDERSON
DALLAS, TX
NPI
1164527057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA04848)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- TIFFANY SANDERSON P.A
3600 GASTON AVE SUITE 907
DALLAS, TX 75246-1800
Phone number: 214-823-2052
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Mailing Address
-- TIFFANY SANDERSON P.A
3600 GASTON AVE SUITE 907
DALLAS, TX 75246-1800
Phone number: 214-823-2052
Copy
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