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1215560057
STEPHANIE TUCKER
PULASKI, TN
NPI
1215560057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN27244)
Enumeration Date
2020-02-20
Last Update Date
2020-02-20
Business Address
STEPHANIE TUCKER
1150 E COLLEGE ST
PULASKI, TN 38478-4519
Phone number: 931-363-2925
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Mailing Address
STEPHANIE TUCKER
PO BOX 907
PULASKI, TN 38478-0907
Phone number: 931-363-2925
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