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1740041490
TRE'VON RUCKER
YUKON, OK
NPI
1740041490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-19
Last Update Date
2024-04-03
Business Address
TRE'VON RUCKER
1501 COMMERCE
YUKON, OK 73099-2236
Phone number: 757-912-6858
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Mailing Address
TRE'VON RUCKER
9217 E 97TH PL
TULSA, OK 74133-6155
Phone number:
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