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1871018127
TUCKER L KIFER
SHREVEPORT, LA
NPI
1871018127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA P09521)
Enumeration Date
2017-08-08
Last Update Date
2017-08-08
Business Address
TUCKER L KIFER
1811 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5740
Phone number: 318-795-2638
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Mailing Address
TUCKER L KIFER
1811 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5740
Phone number:
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