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1003545138
GRANT M TUCKER
DALLAS, TX
NPI
1003545138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
MR. GRANT M TUCKER
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 512-324-7392
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Mailing Address
MR. GRANT M TUCKER
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 512-324-7392
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