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1669065736
KRISTA TUCKER
NORTHPORT, AL
NPI
1669065736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-131356)
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
KRISTA TUCKER
4401 WATERMELON RD
NORTHPORT, AL 35473-5197
Phone number: 205-343-2811
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Mailing Address
KRISTA TUCKER
4401 WATERMELON RD
NORTHPORT, AL 35473-5197
Phone number: 205-343-2811
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