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1669723466
TIFFANY P PHAN
OKLAHOMA CITY, OK
NPI
1669723466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-20
Last Update Date
2012-09-20
Business Address
-- TIFFANY P PHAN BHRS
3515 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73119-2100
Phone number: 405-426-9926
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Mailing Address
-- TIFFANY P PHAN BHRS
5905 SAINT JAMES PL
OKLAHOMA CITY, OK 73179-7911
Phone number: 405-426-9926
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