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1306040340
TIFFANY D GOLD
SAN ANTONIO, TX
NPI
1306040340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 111355)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
Mrs. TIFFANY D GOLD OTR, MHA
855 E BASSE RD
SAN ANTONIO, TX 78209-1890
Phone number: 210-824-6280
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Mailing Address
Mrs. TIFFANY D GOLD OTR, MHA
13119 WILLOWTHORN LN
SAN ANTONIO, TX 78249-4855
Phone number: 210-696-0004
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