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1962769927
TIFFANY MOORE
MONROE, LA
NPI
1962769927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA1729)
Enumeration Date
2012-04-16
Last Update Date
2012-04-16
Business Address
TIFFANY MOORE
1000 MCKEEN PL
MONROE, LA 71201-4406
Phone number: 318-388-3734
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Mailing Address
TIFFANY MOORE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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