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1316179013
CHARLET TUCKER
JAMAICA, NY
NPI
1316179013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 206288)
Enumeration Date
2009-08-13
Last Update Date
2009-08-13
Business Address
-- CHARLET TUCKER
16844 127TH AVE 4D
JAMAICA, NY 11434-3150
Phone number: 718-527-7792
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Mailing Address
-- CHARLET TUCKER
16844 127TH AVE 4D
JAMAICA, NY 11434-3150
Phone number: 718-527-7792
Copy
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