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1104169473
KENDRA MAE TUCKER
SNOHOMISH, WA
NPI
1104169473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA ma60109855)
Enumeration Date
2013-04-04
Last Update Date
2013-04-04
Business Address
-- KENDRA MAE TUCKER
120 AVENUE A STE. C
SNOHOMISH, WA 98290-2961
Phone number: 360-563-0629
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Mailing Address
-- KENDRA MAE TUCKER
514 CLOVER LN
MUKILTEO, WA 98275-2413
Phone number: 425-422-1867
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