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1417432493
MARK ELLIOTT TUCKER
SAN DIEGO, CA
NPI
1417432493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
MARK ELLIOTT TUCKER
424 15TH ST APT 910
SAN DIEGO, CA 92101-7540
Phone number: 202-848-3174
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Mailing Address
MARK ELLIOTT TUCKER
424 15TH ST APT 910
SAN DIEGO, CA 92101-7540
Phone number:
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