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1639387954
BETHANY JAYNE TUCKER
LOS ANGELES, CA
NPI
1639387954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A73695)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Dr. BETHANY JAYNE TUCKER M.D.
9911 W PICO BLVD
LOS ANGELES, CA 90035-2703
Phone number: 310-556-0255
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Mailing Address
Dr. BETHANY JAYNE TUCKER M.D.
16622 JOSHUA RD
APPLE VALLEY, CA 92307-1913
Phone number: 760-247-5410
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