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1952611188
TIFFANY LYNN DUNHAM
PORT ORANGE, FL
NPI
1952611188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA22249)
Enumeration Date
2010-10-21
Last Update Date
2010-10-21
Business Address
Ms. TIFFANY LYNN DUNHAM PTA
6048 SPRUCE POINT CIR
PORT ORANGE, FL 32128-5502
Phone number: 386-299-4866
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Mailing Address
Ms. TIFFANY LYNN DUNHAM PTA
6048 SPRUCE POINT CIR
PORT ORANGE, FL 32128-5502
Phone number: 386-299-4866
Copy
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