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1225407836
TAYVA TUCKER
REDMOND, OR
NPI
1225407836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
-- TAYVA TUCKER
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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Mailing Address
-- TAYVA TUCKER
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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