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1093335010
JENNIFER ANN TUCKER
BETHANY, OK
NPI
1093335010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-04-20
Last Update Date
2020-04-20
Business Address
JENNIFER ANN TUCKER
7913 NW 28TH TER
BETHANY, OK 73008-4465
Phone number: 512-373-6903
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Mailing Address
JENNIFER ANN TUCKER
823 N VILLA AVE
OKLAHOMA CITY, OK 73107-6439
Phone number: 512-373-6903
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