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1962094565
TIFFANY RENE DIAZ
FORT SMITH, AR
NPI
1962094565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR 214718)
Enumeration Date
2021-02-05
Last Update Date
2021-02-05
Business Address
TIFFANY RENE DIAZ APRN-CNP
7217 CAMERON PARK DR
FORT SMITH, AR 72903-6167
Phone number: 479-831-6007
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Mailing Address
TIFFANY RENE DIAZ APRN-CNP
3500 S 70TH ST
FORT SMITH, AR 72903-5197
Phone number:
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