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1821049925
VIVIEN O TUCKER
FAYETTEVILLE, AR
NPI
1821049925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01039200A)
Enumeration Date
2006-05-13
Last Update Date
2020-03-02
Business Address
VIVIEN O TUCKER MD
13859 GREENRIDGE RD
FAYETTEVILLE, AR 72701-0789
Phone number: 812-455-8405
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Mailing Address
VIVIEN O TUCKER MD
13859 GREENRIDGE RD
FAYETTEVILLE, AR 72701-0789
Phone number: 812-455-8405
Copy
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