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1629434576
DERRICK TUCKER
SAINT LOUIS, MO
NPI
1629434576
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Professional Name
DETONY TUCKER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: MO 2013025861)
Enumeration Date
2016-01-07
Last Update Date
2016-01-07
Business Address
Mr. DERRICK TUCKER LMT
4102A SHENANDOAH AVE
SAINT LOUIS, MO 63110-3940
Phone number: 314-541-3924
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Mailing Address
Mr. DERRICK TUCKER LMT
4102A SHENANDOAH AVE
SAINT LOUIS, MO 63110-3940
Phone number: 314-541-3924
Copy
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