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1619186269
TIFFANY WARD
CARBONDALE, IL
NPI
1619186269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL 036141201)
Enumeration Date
2007-05-21
Last Update Date
2022-11-03
Business Address
TIFFANY WARD MD
305 W JACKSON ST STE 103
CARBONDALE, IL 62901-1474
Phone number: 618-351-4972
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Mailing Address
TIFFANY WARD MD
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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