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1043887458
SAMANTHA ANN TUCKER
NASHVILLE, TN
NPI
1043887458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2021-06-06
Last Update Date
2021-06-06
Business Address
SAMANTHA ANN TUCKER
2400 WHITE AVE
NASHVILLE, TN 37204-2235
Phone number: 615-785-3926
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Mailing Address
SAMANTHA ANN TUCKER
1899 WESTSIDE DR
ROCHESTER, NY 14624-3741
Phone number:
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