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1922439215
ILENE TUCKER
CULVER CITY, CA
NPI
1922439215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA 796705)
Enumeration Date
2013-12-11
Last Update Date
2013-12-11
Business Address
ILENE TUCKER
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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Mailing Address
ILENE TUCKER
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
Copy
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