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1578583100
JOHN R. TUCKER
BOGALUSA, LA
NPI
1578583100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 10080R)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
JOHN R. TUCKER M.D.
433 PLAZA ST
BOGALUSA, LA 70427-3729
Phone number: 985-730-6705
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Mailing Address
JOHN R. TUCKER M.D.
400 MEMPHIS ST
BOGALUSA, LA 70427-3862
Phone number: 985-730-6705
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