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1477863975
TIFFANY WILSON
WACO, TX
NPI
1477863975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 103522)
Enumeration Date
2010-10-18
Last Update Date
2010-10-18
Business Address
-- TIFFANY WILSON SLP
110 S 12TH ST
WACO, TX 76701-1810
Phone number: 254-297-7124
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Mailing Address
-- TIFFANY WILSON SLP
PO BOX 890
WACO, TX 76703-0890
Phone number: 254-297-7124
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