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1053340455
BRENDA TUCKER
DECATUR, GA
NPI
1053340455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA ot001691)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Ms. BRENDA TUCKER motr
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Ms. BRENDA TUCKER motr
657 WINDCHASE PL
LITHONIA, GA 30058-8280
Phone number: 770-879-7290
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