GRACE LEE TUCKER

JEFFERSON CITY, MO
NPI1851816334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2017019305)
Enumeration Date2017-08-07
Last Update Date2017-08-07
Business Address
Mrs. GRACE LEE TUCKER NP-C
3308 W EDGEWOOD DR STE B
JEFFERSON CITY, MO 65109-6891
Phone number: 573-893-7848
Mailing Address
Mrs. GRACE LEE TUCKER NP-C
2408 BOULDER SPRINGS DR
COLUMBIA, MO 65201-8595
Phone number:
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