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1336737162
MICHYLEA TUCKER
CHEYENNE, WY
NPI
1336737162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-01-07
Last Update Date
2021-01-07
Business Address
MICHYLEA TUCKER
2310 E 8TH ST
CHEYENNE, WY 82001-5256
Phone number: 844-895-7325
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Mailing Address
MICHYLEA TUCKER
510 W 29TH ST
CHEYENNE, WY 82001-2760
Phone number: 844-895-7325
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