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1225537699
STEFANIE RENEE TUCKER
TAMPA, FL
NPI
1225537699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9230484)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
Ms. STEFANIE RENEE TUCKER
3001 W DR MLK BLVD
TAMPA, FL 33607-6307
Phone number: 813-874-5707
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Mailing Address
Ms. STEFANIE RENEE TUCKER
13551 LUXE AVE APT 108
BRADENTON, FL 34211-4507
Phone number: 941-914-1077
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