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1801347448
TIFFANY KIMBROUGH
INDEPENDENCE, MO
NPI
1801347448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MO 2011015347)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
Mrs. TIFFANY KIMBROUGH COTA
3980 SOUTH JACKSON DRIVE
INDEPENDENCE, MO 64057
Phone number: 816-478-5605
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Mailing Address
Mrs. TIFFANY KIMBROUGH COTA
33909 E JENKINS RD
LONE JACK, MO 64070-9155
Phone number: 816-616-9566
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