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1750818894
TIFFANY LYNN SHANAHAN
BENTONVILLE, AR
NPI
1750818894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AR A005159)
Enumeration Date
2017-05-19
Last Update Date
2022-07-21
Business Address
TIFFANY LYNN SHANAHAN NP-C
3101 SE 14TH ST
BENTONVILLE, AR 72712
Phone number: 479-986-6090
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Mailing Address
TIFFANY LYNN SHANAHAN NP-C
3101 SE 14TH ST
BENTONVILLE, AR 72712-4900
Phone number: 479-986-6090
Copy
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