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1023626918
TUCKER A SHELEY
PINE RIVER, MN
NPI
1023626918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 7543)
Enumeration Date
2020-07-17
Last Update Date
2020-07-17
Business Address
TUCKER A SHELEY APRN,CNP
415 BARCLAY AVE
PINE RIVER, MN 56474-1603
Phone number: 218-587-4416
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Mailing Address
TUCKER A SHELEY APRN,CNP
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number:
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