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Tiffany Gordon
NPI 1093043242 · on the registry since 2009 · sole proprietor
Practice
- Address
- 4665 E Sunset Dr
Syracuse, IN 46567 - Phone
- (866) 627-8233
- Fax
- (877) 710-7891
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana