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1154718054
SYLVIA TAWANDA RUCKER
MINNETONKA, MN
NPI
1154718054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN182996)
Enumeration Date
2015-04-20
Last Update Date
2020-09-14
Business Address
Mrs. SYLVIA TAWANDA RUCKER FNP
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 706-988-0862
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Mailing Address
Mrs. SYLVIA TAWANDA RUCKER FNP
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 706-988-0862
Copy
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