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1821027764
MARIA LYNN TUCKER
BOISE, ID
NPI
1821027764
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Former Name
MARIA LYNN CHEATHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: ID NP531A)
Enumeration Date
2006-07-02
Last Update Date
2017-09-19
Business Address
Mrs. MARIA LYNN TUCKER NNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
Mrs. MARIA LYNN TUCKER NNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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