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1316969306
TIFFANY SMITH
LONGVIEW, TX
NPI
1316969306
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Former Name
TIFFANY OWEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04787)
Enumeration Date
2006-07-25
Last Update Date
2015-08-21
Business Address
-- TIFFANY SMITH P.A.
701 E MARSHALL AVE SUITE 400
LONGVIEW, TX 75601-5659
Phone number: 903-315-2032
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Mailing Address
-- TIFFANY SMITH P.A.
PO BOX 731218
DALLAS, TX 75373-1218
Phone number: 903-315-2032
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