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1073814240
CHARLOTTA TUCKER
TUBA CITY, AZ
NPI
1073814240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ 999994724)
Enumeration Date
2010-11-04
Last Update Date
2010-11-04
Business Address
-- CHARLOTTA TUCKER
167 NORTH MAIN ST
TUBA CITY, AZ 86045
Phone number: 928-283-2501
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Mailing Address
-- CHARLOTTA TUCKER
P.O. BOX 600
TUBA CITY, AZ 86045
Phone number: 928-283-2501
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