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1538617865
TIFFANY FOSTER
PARAGOULD, AR
NPI
1538617865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2319)
Enumeration Date
2016-09-15
Last Update Date
2016-09-15
Business Address
-- TIFFANY FOSTER PTA
5413 W KINGSHIGHWAY
PARAGOULD, AR 72450-3368
Phone number: 870-215-4410
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Mailing Address
-- TIFFANY FOSTER PTA
3102 CAMBRIDGE DR
PARAGOULD, AR 72450-5698
Phone number: 870-215-1409
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