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1235657057
TIFFANY DANIELLE SUTPHEN
SAN JOSE, CA
NPI
1235657057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-08-31
Last Update Date
2022-07-21
Business Address
TIFFANY DANIELLE SUTPHEN
1156 N 4TH ST
SAN JOSE, CA 95112-4900
Phone number: 408-775-8768
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Mailing Address
TIFFANY DANIELLE SUTPHEN
1156 N 4TH ST
SAN JOSE, CA 95112
Phone number: 408-775-8768
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