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1720615081
JUSTIN RANDAL TUCKER
DALLAS, TX
NPI
1720615081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 107509)
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
JUSTIN RANDAL TUCKER MS, CCC/SLP, ATP
2655 VILLA CREEK DR STE 140
DALLAS, TX 75234-7385
Phone number: 972-241-9334
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Mailing Address
JUSTIN RANDAL TUCKER MS, CCC/SLP, ATP
2655 VILLA CREEK DR STE 140
DALLAS, TX 75234-7385
Phone number: 972-241-9334
Copy
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