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1477909679
TIFFANY KAY EVANS
SILOAM SPRINGS, AR
NPI
1477909679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AR 616)
Enumeration Date
2016-05-06
Last Update Date
2016-05-06
Business Address
MRS. TIFFANY KAY EVANS ATC/LAT
700 N PROGRESS AVE
SILOAM SPRINGS, AR 72761-4349
Phone number: 417-209-5290
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Mailing Address
MRS. TIFFANY KAY EVANS ATC/LAT
880 PRIMROSE AVE
SILOAM SPRINGS, AR 72761-5567
Phone number: 417-209-5290
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