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1215185186
PHILIP S TUCKER
HARRISON, AR
NPI
1215185186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-04
Last Update Date
2008-09-04
Business Address
-- PHILIP S TUCKER MHPP/TEACHER
400 E HIGHWAY 43
HARRISON, AR 72601-6514
Phone number: 870-391-3871
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Mailing Address
-- PHILIP S TUCKER MHPP/TEACHER
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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