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1346716362
PERRY LYNN TUCKER
KENNETT, MO
NPI
1346716362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
PERRY LYNN TUCKER
875 STATE ROUTE VV
KENNETT, MO 63857-9108
Phone number: 573-888-5925
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Mailing Address
PERRY LYNN TUCKER
925 STATE ROUTE VV
KENNETT, MO 63857-3822
Phone number: 573-888-5925
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