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1306279336
DAVID CUSHING TUCKER
RALEIGH, NC
NPI
1306279336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 8702)
Enumeration Date
2013-08-13
Last Update Date
2013-08-13
Business Address
MR. DAVID CUSHING TUCKER OTR/L
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Phone number: 919-562-9410
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Mailing Address
MR. DAVID CUSHING TUCKER OTR/L
13605 OLD CREEDMOOR RD
WAKE FOREST, NC 27587
Phone number: 919-264-3391
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