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1851403208
DIANE F TUCKER
JACKSON, TN
NPI
1851403208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 770)
Enumeration Date
2006-08-31
Last Update Date
2009-07-31
Business Address
-- DIANE F TUCKER OT
34 GARLAND DR
JACKSON, TN 38305-3654
Phone number: 731-668-3322
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Mailing Address
-- DIANE F TUCKER OT
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759
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