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1164020467
KAYSHA TUCKER
WARREN, OH
NPI
1164020467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN175729-MEDS-IV)
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
KAYSHA TUCKER LPN
3120 W MARKET ST
WARREN, OH 44485-3069
Phone number: 330-898-6992
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Mailing Address
KAYSHA TUCKER LPN
535 MARMION AVE
YOUNGSTOWN, OH 44502-2323
Phone number:
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