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1942992573
MELISSA DAWN TUCKER
FORT CAMPBELL, KY
NPI
1942992573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 91655)
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
MELISSA DAWN TUCKER
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8306
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Mailing Address
MELISSA DAWN TUCKER
1008 HILLSHIRE DR
CLARKSVILLE, TN 37043-2106
Phone number: 615-972-2726
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