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1194039289
CARRIE S. TUCKER
SPRINGFIELD, IL
NPI
1194039289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209008262)
Enumeration Date
2010-07-30
Last Update Date
2016-01-11
Business Address
-- CARRIE S. TUCKER Nurse Practitioner
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 217-545-8000
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Mailing Address
-- CARRIE S. TUCKER Nurse Practitioner
520 N 4TH ST PO BOX 19670
SPRINGFIELD, IL 62702-5238
Phone number: 217-545-8000
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