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1295440931
JORDAN R TUCKER
SALT LAKE CITY, UT
NPI
1295440931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
JORDAN R TUCKER
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-213-9500
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Mailing Address
JORDAN R TUCKER
404 E 3200 N
LEHI, UT 84043-9637
Phone number: 801-949-8339
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