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1386775641
MARY W TUCKER
MARYVILLE, TN
NPI
1386775641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: TN APN0000010443)
Enumeration Date
2007-03-08
Last Update Date
2008-02-19
Business Address
MARY W TUCKER APRN, BC
116 CHANTILLY LANE
MARYVILLE, TN 37803
Phone number: 865-273-1616
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Mailing Address
MARY W TUCKER APRN, BC
PO BOX 5629
MARYVILLE, TN 37802-5629
Phone number: 865-273-1752
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