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1174828180
DEADRA RENEA TUCKER
LYNCHBURG, TN
NPI
1174828180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 15536)
Enumeration Date
2011-01-22
Last Update Date
2024-07-16
Business Address
DEADRA RENEA TUCKER APN
491 MAJORS BLVD
LYNCHBURG, TN 37352-8344
Phone number: 931-759-4727
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Mailing Address
DEADRA RENEA TUCKER APN
5135 WINCHESTER HWY
LYNCHBURG, TN 37352-8458
Phone number: 931-759-4949
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