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1962183749
JOSHUA LEE TUCKER
SOMERSET, KY
NPI
1962183749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: KY 1202659)
Enumeration Date
2023-07-26
Last Update Date
2023-07-26
Business Address
JOSHUA LEE TUCKER
233 PARKERS MILL WAY
SOMERSET, KY 42503-4152
Phone number: 606-485-4003
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Mailing Address
JOSHUA LEE TUCKER
233 PARKERS MILL WAY
SOMERSET, KY 42503-4152
Phone number: 606-485-4003
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