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1831187269
THEODORE C TUCKER
FAIRBURY, NE
NPI
1831187269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 21919)
Enumeration Date
2005-10-10
Last Update Date
2016-08-05
Business Address
-- THEODORE C TUCKER MD
825 22ND ST
FAIRBURY, NE 68352-1221
Phone number: 402-729-3361
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Mailing Address
-- THEODORE C TUCKER MD
825 22ND ST
FAIRBURY, NE 68352-1221
Phone number: 402-729-3361
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