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1003494741
QUANTISHA DENISE TUCKER
COLUMBIA, SC
NPI
1003494741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: SC 60178-59050)
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
QUANTISHA DENISE TUCKER
557 ASPINWALL RD
COLUMBIA, SC 29203-5487
Phone number: 803-722-9388
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Mailing Address
QUANTISHA DENISE TUCKER
557 ASPINWALL RD
COLUMBIA, SC 29203-5487
Phone number: 803-722-9388
Copy
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