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1326722661
MARISSA ELAINE TUCKER
EDWARDSVILLE, IL
NPI
1326722661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
MARISSA ELAINE TUCKER RRNA
1 HAIRPIN DR
EDWARDSVILLE, IL 62026-0001
Phone number: 618-650-3705
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Mailing Address
MARISSA ELAINE TUCKER RRNA
195 UNIVERSITY PARK DR
EDWARDSVILLE, IL 62025-3645
Phone number: 618-650-3705
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