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1902892243
LAURA A TUCKER
NEENAH, WI
NPI
1902892243
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Former Name
LAURA A BALLIET
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 2582033)
Enumeration Date
2005-09-22
Last Update Date
2007-07-08
Business Address
-- LAURA A TUCKER NP
WEST PAVILION 2 FLOOR 130 SECOND STREET
NEENAH, WI 54956-2753
Phone number: 920-725-9373
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Mailing Address
-- LAURA A TUCKER NP
THE NEUROSCIENCE GROUP OF NE WI WEST PAVILION 2ND FLOOR, 130 SENCOND STREET
NEENAH, WI 54956-2753
Phone number: 920-725-9373
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