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1629198155
MARTHA MAE TUCKER
TULSA, OK
NPI
1629198155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OK 100298990B)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Mrs. MARTHA MAE TUCKER
2907 S 93RD EAST AVE
TULSA, OK 74129-6827
Phone number: 918-633-5260
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Mailing Address
Mrs. MARTHA MAE TUCKER
2322 S 87TH EAST AVE
TULSA, OK 74129-3030
Phone number: 918-633-5260
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