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1710711338
EMMERSON TUCKER
POCATELLO, ID
NPI
1710711338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: ID 5261976)
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
EMMERSON TUCKER
1001 N 7TH AVE STE 135
POCATELLO, ID 83201-5790
Phone number: 208-232-7862
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Mailing Address
EMMERSON TUCKER
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number:
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