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1083309462
JORDAN RYAN TUCKER
LAURINBURG, NC
NPI
1083309462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5017840)
Enumeration Date
2023-04-10
Last Update Date
2024-07-15
Business Address
JORDAN RYAN TUCKER FNP
500 LAUCHWOOD DR
LAURINBURG, NC 28352-5501
Phone number: 910-277-9164
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Mailing Address
JORDAN RYAN TUCKER FNP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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