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1952761439
TIFFANY DEFEBAUGH
WICHITA, KS
NPI
1952761439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 1801284)
Enumeration Date
2016-02-26
Last Update Date
2016-02-26
Business Address
-- TIFFANY DEFEBAUGH COTA
3730 N RIDGE RD STE 500
WICHITA, KS 67205-1227
Phone number: 316-440-4901
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Mailing Address
-- TIFFANY DEFEBAUGH COTA
200 W DOUGLAS AVE STE 1040
WICHITA, KS 67202-3013
Phone number: 316-263-0003
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