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1750168530
ALEXANDRA RUTHANN TUCKER
GREENVILLE, SC
NPI
1750168530
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Former Name
ALEXANDRA RUTHANN BUSTO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 4914)
Enumeration Date
2023-09-13
Last Update Date
2023-10-18
Business Address
Mrs. ALEXANDRA RUTHANN TUCKER PA-C
1202 E BUTLER RD
GREENVILLE, SC 29607-5910
Phone number: 864-627-3800
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Mailing Address
Mrs. ALEXANDRA RUTHANN TUCKER PA-C
233 LIGHTBOURNE DR APT 3F
SPARTANBURG, SC 29301-5396
Phone number: 803-719-6314
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