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1407236771
TERESA TUCKER
BROKEN ARROW, OK
NPI
1407236771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK 01111159)
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
Ms. TERESA TUCKER SLP
6801 S 3RD ST
BROKEN ARROW, OK 74011-7244
Phone number: 918-259-4480
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Mailing Address
Ms. TERESA TUCKER SLP
6801 S 3RD ST
BROKEN ARROW, OK 74011-7244
Phone number: 918-259-4480
Copy
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