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1457191439
DEVON BASS KENDRICK TUCKER
BATON ROUGE, LA
NPI
1457191439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
DEVON BASS KENDRICK TUCKER AT
3487 ALASKA ST
BATON ROUGE, LA 70803-0001
Phone number: 225-578-3357
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Mailing Address
DEVON BASS KENDRICK TUCKER AT
50 FIELD HOUSE DRIVE
BATON ROUGE, LA 70803-0001
Phone number: 225-578-2050
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