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1033549670
TINA FAYE LUCK
SAN ANGELO, TX
NPI
1033549670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP124485)
Enumeration Date
2013-11-18
Last Update Date
2018-06-05
Business Address
Mrs. TINA FAYE LUCK NP-C
36 E TWOHIG AVE STE 1100
SAN ANGELO, TX 76903
Phone number: 325-658-6524
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Mailing Address
Mrs. TINA FAYE LUCK NP-C
3005 GRANDVIEW DR
SAN ANGELO, TX 76904-8145
Phone number: 325-226-2462
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