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1205698776
TIFFANIE CRUZ
FORT CAMPBELL, KY
NPI
1205698776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC P017495)
Enumeration Date
2024-01-29
Last Update Date
2024-12-30
Business Address
TIFFANIE CRUZ LCSWA
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
TIFFANIE CRUZ LCSWA
8211 EBERLE LOOP UNIT B
FORT CAMPBELL, KY 42223-2647
Phone number: 916-307-1894
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