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1861430613
SANDRA L TUCKER
COLUMBIA, SC
NPI
1861430613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC 282)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
Ms. SANDRA L TUCKER APRN BC
2000 HAMPTON ST
COLUMBIA, SC 29204-1002
Phone number: 803-576-2784
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Mailing Address
Ms. SANDRA L TUCKER APRN BC
1409 TUDOR LN
CAMDEN, SC 29020-3350
Phone number: 803-425-4683
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