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1871912956
ALLEN JACOB TUCKER
ALBUQUERQUE, NM
NPI
1871912956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NM TD-00-66)
Enumeration Date
2014-04-15
Last Update Date
2014-07-07
Business Address
ALLEN JACOB TUCKER
MSC 06 3500 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-925-4031
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Mailing Address
ALLEN JACOB TUCKER
MSC 06 3500 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-925-4031
Copy
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