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1659145043
TIFFANY WALLACE
OMAHA, NE
NPI
1659145043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: NA)
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
MRS. TIFFANY WALLACE CNA, CMA, MS
909 S 76TH ST
OMAHA, NE 68114-4519
Phone number: 400-239-0210
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Mailing Address
MRS. TIFFANY WALLACE CNA, CMA, MS
909 S 76TH ST
OMAHA, NE 68114-4519
Phone number: 400-239-0210
Copy
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