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1144003286
KELLY MARIE TUCKER
LOCKPORT, NY
NPI
1144003286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F352150-01)
Enumeration Date
2023-08-14
Last Update Date
2024-01-04
Business Address
KELLY MARIE TUCKER FNP
6950 S TRANSIT RD
LOCKPORT, NY 14094-6333
Phone number: 716-630-1335
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Mailing Address
KELLY MARIE TUCKER FNP
425 ESSJAY RD STE 170
WILLIAMSVILLE, NY 14221-8235
Phone number: 716-630-1219
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