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Individual
MARGRET TUCKER
Active
Individual
MARGRET TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN554357
PA
225200000X
Physical Therapy Assistant
TE1002532
PA
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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