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1942770714
TIFFANY GAYLA CLENDENING
LONGVIEW, TX
NPI
1942770714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP139914)
Enumeration Date
2018-12-04
Last Update Date
2022-08-25
Business Address
TIFFANY GAYLA CLENDENING PMHNP
410 N 4TH ST
LONGVIEW, TX 75601-6511
Phone number: 903-234-8808
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Mailing Address
TIFFANY GAYLA CLENDENING PMHNP
PO BOX 489
MT ENTERPRISE, TX 75681-0489
Phone number: 903-392-8203
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