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Individual

MRS. TIFFANY DIMERA MPOFU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CVRT

Contact information

Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
2953 SQUIRREL RIDGE DR, COLUMBUS, OH 43219-5502
(269) 447-9568

Taxonomy

Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
7047
MI

Other

Enumeration date
08/20/2017
Last updated
08/20/2017
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