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1366576779
DALE AGNES TUCKER
LEESBURG, FL
NPI
1366576779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA 1561)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Mrs. DALE AGNES TUCKER LPTA
600 W NORTH BLVD SUITE D
LEESBURG, FL 34748-5063
Phone number: 352-787-9300
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Mailing Address
Mrs. DALE AGNES TUCKER LPTA
2845 COUNTY ROAD 200
OXFORD, FL 34484-2309
Phone number: 352-748-6033
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