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1144799388
JUSTINE N TUCKER
FORT WAYNE, IN
NPI
1144799388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN 16-27348)
Enumeration Date
2018-11-16
Last Update Date
2018-11-16
Business Address
JUSTINE N TUCKER RBT
10313 ABOITE CENTER RD
FORT WAYNE, IN 46804-5435
Phone number: 260-459-6040
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Mailing Address
JUSTINE N TUCKER RBT
10820 COLDWATER RD
FORT WAYNE, IN 46845-1241
Phone number: 260-459-6040
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