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1629811880
WILLIAM ALLEN RUCKER
TULSA, OK
NPI
1629811880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
WILLIAM ALLEN RUCKER
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
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Mailing Address
WILLIAM ALLEN RUCKER
23862 E 191ST ST S
HASKELL, OK 74436-2382
Phone number: 918-633-0755
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