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1114595865
LEONARD TUCKER
MEMPHIS, TN
NPI
1114595865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 06738)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
Mr. LEONARD TUCKER PTA
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119-2673
Phone number: 901-752-0772
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Mailing Address
Mr. LEONARD TUCKER PTA
2384 HEATHER RDG
SOUTHAVEN, MS 38672-9274
Phone number: 901-848-2534
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