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1790955714
JENNY TUCKER
MCCOMB, MS
NPI
1790955714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA3111)
Enumeration Date
2008-03-05
Last Update Date
2008-03-05
Business Address
-- JENNY TUCKER
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
-- JENNY TUCKER
9866 HWY 495 APT A
MERIDIAN, MS 39305-9214
Phone number:
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