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1346368669
TIFFANY NICOLE WHITE
SPENCER, WV
NPI
1346368669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1594)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- TIFFANY NICOLE WHITE COTAL
825 SUMMIT ST
SPENCER, WV 25276-1035
Phone number: 304-923-4175
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Mailing Address
-- TIFFANY NICOLE WHITE COTAL
600 MARKET ST APT. #2
SPENCER, WV 25276-1831
Phone number: 304-923-4175
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