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Individual

TIFFANY NICOLE KILPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 28TH AVE SW, ALTOONA, IA 50009-3939
(515) 446-2075
Mailing address
2912 E 37TH ST, DES MOINES, IA 50317-3314
(515) 318-4855

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/24/2024
Last updated
04/24/2024
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