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1194550756
LISA TUCKER
OKLAHOMA CITY, OK
NPI
1194550756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK R0066569)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
LISA TUCKER
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5108
Phone number: 405-424-7711
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Mailing Address
LISA TUCKER
6308 N HARMON DR
WARR ACRES, OK 73122-7354
Phone number:
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