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1477253003
TAMARA LAKISHA BOGAR TUCKER
SAN FRANCISCO, CA
NPI
1477253003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: CA 689467)
Enumeration Date
2023-03-02
Last Update Date
2023-03-02
Business Address
Mrs. TAMARA LAKISHA BOGAR TUCKER
995 POTRERO AVE BLDG 90
SAN FRANCISCO, CA 94110-2859
Phone number: 628-206-8683
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Mailing Address
Mrs. TAMARA LAKISHA BOGAR TUCKER
24471 BORREGO CIR
CORONA, CA 92883-5159
Phone number: 951-433-0990
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