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Individual

MRS. TIFFANY L VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPSP

Contact information

Practice address
210 RAINBOW DR LOT 20, BURNS HARBOR, IN 46304-9790
(219) 406-6869
Mailing address
210 RAINBOW DR LOT 20, BURNS HARBOR, IN 46304-9790
(219) 406-6869

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
10/14/2024
Last updated
10/14/2024
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