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1962554535
MICHAEL RANDOLPH TUCKER
WINNSBORO, LA
NPI
1962554535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA 2162)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL RANDOLPH TUCKER DDS
502 PRAIRIE
WINNSBORO, LA 71295
Phone number: 318-435-6155
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Mailing Address
Dr. MICHAEL RANDOLPH TUCKER DDS
502 PRAIRIE
WINNSBORO, LA 71295
Phone number: 318-435-6155
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