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1801386016
TIFFANY NICOLE WADE
HOPKINSVILLE, KY
NPI
1801386016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
TIFFANY NICOLE WADE
607 HAMMOND PLZ
HOPKINSVILLE, KY 42240-4971
Phone number: 270-881-9551
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Mailing Address
TIFFANY NICOLE WADE
PO BOX 614
HOPKINSVILLE, KY 42241-0614
Phone number: 270-886-2205
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