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1235828120
DEVON TUCKER
ENFIELD, CT
NPI
1235828120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CT 45072)
Enumeration Date
2023-05-05
Last Update Date
2023-05-05
Business Address
DEVON TUCKER
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-731-5522
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Mailing Address
DEVON TUCKER
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-697-3351
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