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1356167316
SHAVON TUCKER
MILWAUKEE, WI
NPI
1356167316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: WI 515877)
Enumeration Date
2024-11-25
Last Update Date
2024-11-25
Business Address
SHAVON TUCKER
3314 W ORIOLE DR
MILWAUKEE, WI 53209-4101
Phone number: 414-210-4110
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Mailing Address
SHAVON TUCKER
4025 W KILEY AVE
MILWAUKEE, WI 53209-2238
Phone number: 414-322-4595
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