GARY TUCKER

KOSCIUSKO, MS
NPI1083929400
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA0288)
Enumeration Date2010-08-10
Last Update Date2010-08-10
Business Address
-- GARY TUCKER
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090-3242
Phone number: 662-289-3499
Mailing Address
-- GARY TUCKER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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