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1649601329
SAM TUCKER
BOCA RATON, FL
NPI
1649601329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: FL 6080160256358)
Enumeration Date
2013-12-06
Last Update Date
2013-12-06
Business Address
-- SAM TUCKER
10413 LAKE VISTA CIR
BOCA RATON, FL 33498-6772
Phone number: 877-341-8367
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Mailing Address
-- SAM TUCKER
10413 LAKE VISTA CIR
BOCA RATON, FL 33498-6772
Phone number: 877-341-8367
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