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Individual

TIFFANY MARIE GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1980 HIGHWAY 80 W, JACKSON, MS 39204-2303
(601) 500-6737
Mailing address
1980 HIGHWAY 80 W, JACKSON, MS 39204-2303
(601) 500-6737

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
12/26/2019
Last updated
12/26/2019
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