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1316433543
JENIFER TUCKER
SHREVEPORT, LA
NPI
1316433543
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Professional Name
JENIFER TUCKER-BOARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
JENIFER TUCKER
4121 VIA ST
SHREVEPORT, LA 71109-8346
Phone number: 318-218-0569
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Mailing Address
JENIFER TUCKER
4121 VIA ST
SHREVEPORT, LA 71109-8346
Phone number: 318-218-0569
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