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1477305217
JESSICA TUCKER
SHAWNEE, OK
NPI
1477305217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0071475)
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
JESSICA TUCKER
1336 N HARRISON AVE
SHAWNEE, OK 74801-5206
Phone number: 405-424-7711
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Mailing Address
JESSICA TUCKER
43275 PRAIRIE RANCH RD
SHAWNEE, OK 74804-2654
Phone number:
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