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1780148320
TIFFANY NICOLE JOHNSON
JONESBORO, AR
NPI
1780148320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1430)
Enumeration Date
2019-01-28
Last Update Date
2024-02-29
Business Address
TIFFANY NICOLE JOHNSON
2911 LONGVIEW DR STE B
JONESBORO, AR 72401-5902
Phone number: 870-336-0238
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Mailing Address
TIFFANY NICOLE JOHNSON
610 N MISSOURI ST STE 1
WEST MEMPHIS, AR 72301-3148
Phone number: 870-400-0179
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