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1598246241
TIFFANY GOODWYN
TYLER, TX
NPI
1598246241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2121557)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
TIFFANY GOODWYN PTA
2450 E 5TH ST
TYLER, TX 75701-3525
Phone number: 903-592-6745
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Mailing Address
TIFFANY GOODWYN PTA
PO BOX 7041
TYLER, TX 75711-7041
Phone number:
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