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Individual
MRS. SARAH TUCKER ALLEN
Active
Individual
MRS. SARAH TUCKER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4670
TN
363A00000X
Physician Assistant
PA.200557
LA
363A00000X
Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA08043
TX LICENSE
TX
Enumeration date
10/23/2012
Last updated
04/08/2022
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