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1780819177
TUCKER MATTOX
SOLDOTNA, AK
NPI
1780819177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-05-28
Last Update Date
2009-05-28
Business Address
-- TUCKER MATTOX
43335 KALIFORNSKY BEACH RD SUITE 36
SOLDOTNA, AK 99669-8260
Phone number: 907-262-6331
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Mailing Address
-- TUCKER MATTOX
43335 KALIFORNSKY BEACH RD SUITE 36
SOLDOTNA, AK 99669-8260
Phone number: 907-262-6331
Copy
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