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1780677054
BRUCE NICHOLSON TUCKER
SANTA ROSA, CA
NPI
1780677054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G44233)
Enumeration Date
2005-08-23
Last Update Date
2012-02-07
Business Address
-- BRUCE NICHOLSON TUCKER M.D.
3536 MENDOCINO AVE STE 300
SANTA ROSA, CA 95403-3634
Phone number: 707-544-3411
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Mailing Address
-- BRUCE NICHOLSON TUCKER M.D.
3536 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403-3634
Phone number: 707-575-6049
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