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1922357177
RUSSELL LEE TUCKER
SEARCY, AR
NPI
1922357177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: AR OTR2541)
Enumeration Date
2012-09-04
Last Update Date
2012-09-04
Business Address
RUSSELL LEE TUCKER
2501 E MOORE AVE
SEARCY, AR 72143-4751
Phone number: 501-268-5001
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Mailing Address
RUSSELL LEE TUCKER
2501 E MOORE AVE
SEARCY, AR 72143-4751
Phone number: 501-268-5001
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