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1619584505
EDWARD AUSTIN TUCKER
JASPER, AL
NPI
1619584505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-129003)
Enumeration Date
2020-09-25
Last Update Date
2020-10-21
Business Address
EDWARD AUSTIN TUCKER CRNP
20 MEDICAL CENTER DR STE 300
JASPER, AL 35501-3428
Phone number: 205-384-0141
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Mailing Address
EDWARD AUSTIN TUCKER CRNP
20 MEDICAL CENTER DR STE 300
JASPER, AL 35501-3428
Phone number: 205-384-0141
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