TIFFANY LEE RUSSELL

DYESS AFB, TX
NPI1811525595
Former NameTIFFANY LEE REID
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: TX  T2968)
Enumeration Date2020-03-30
Last Update Date2021-09-14
Business Address
TIFFANY LEE RUSSELL DO
697 LOUISIANA RD
DYESS AFB, TX 79607-1141
Phone number: 325-696-6600
Mailing Address
TIFFANY LEE RUSSELL DO
697 LOUISIANA RD
DYESS AFB, TX 79607-1141
Phone number: 325-696-6600
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