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1164684791
TIFFANI MAE DURHAM
BAKERSFIELD, CA
NPI
1164684791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT8739)
Enumeration Date
2008-06-25
Last Update Date
2008-06-25
Business Address
MISS TIFFANI MAE DURHAM PTA
2211 MOUNT VERNON AVE
BAKERSFIELD, CA 93306-3309
Phone number: 661-872-2121
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Mailing Address
MISS TIFFANI MAE DURHAM PTA
2211 MOUNT VERNON AVE
BAKERSFIELD, CA 93306-3309
Phone number: 661-872-2121
Copy
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