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1700343423
MALLORY TUCKER RUTLAND
SAVANNAH, GA
NPI
1700343423
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Former Name
MALLORY ELAINE TUCKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN235650)
Enumeration Date
2019-02-28
Last Update Date
2019-02-28
Business Address
Mrs. MALLORY TUCKER RUTLAND
506 LEE BLVD
SAVANNAH, GA 31405-5448
Phone number: 912-856-3792
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Mailing Address
Mrs. MALLORY TUCKER RUTLAND
506 LEE BLVD
SAVANNAH, GA 31405-5448
Phone number: 912-856-3792
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