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1194076463
TIFFANY J MERRIMAN
EAU CLAIRE, WI
NPI
1194076463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1542-19)
Enumeration Date
2012-09-27
Last Update Date
2014-08-07
Business Address
Ms. TIFFANY J MERRIMAN PTA
2120 HEIGHTS DR
EAU CLAIRE, WI 54701-6142
Phone number: 715-832-1618
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Mailing Address
Ms. TIFFANY J MERRIMAN PTA
2120 HEIGHTS DR
EAU CLAIRE, WI 54701-6142
Phone number: 715-832-1618
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