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Individual

TIFFANIE JILL ALBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1916 N BALTIMORE ST, KIRKSVILLE, MO 63501-1902
(660) 665-1901
(660) 665-1903
Mailing address
RR 1 BOX 146, LANCASTER, MO 63548-9758
(660) 457-3619

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002876
MO

Other

Enumeration date
03/14/2007
Last updated
07/08/2007
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