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1831894377
TIFFANY GOOSBY
DURANT, OK
NPI
1831894377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
TIFFANY GOOSBY
811 N 9TH AVE
DURANT, OK 74701-3727
Phone number: 580-634-1432
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Mailing Address
TIFFANY GOOSBY
811 N 9TH AVE
DURANT, OK 74701-3727
Phone number: 580-634-1432
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