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1235951047
TIFFANY MARIE MARTINEZ
CHICAGO, IL
NPI
1235951047
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Former Name
TIFFANY MARIE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: OR 302529)
Enumeration Date
2024-10-31
Last Update Date
2024-10-31
Business Address
TIFFANY MARIE MARTINEZ IBCLC
1621 W CARROLL AVE
CHICAGO, IL 60612-2501
Phone number: 503-756-2422
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Mailing Address
TIFFANY MARIE MARTINEZ IBCLC
15355 SE OATFIELD RD
PORTLAND, OR 97267-3921
Phone number: 503-756-2422
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