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1275940025
JESSICA TUCKER
MONROE, NC
NPI
1275940025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NC 75440)
Enumeration Date
2014-07-14
Last Update Date
2014-07-14
Business Address
JESSICA TUCKER LPN
2208 W ROOSEVELT BLVD
MONROE, NC 28110-2762
Phone number: 704-289-9869
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Mailing Address
JESSICA TUCKER LPN
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number:
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