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Individual
TERRY L STUCKEY
Active
Individual
TERRY L STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001992
MI
Other
Enumeration date
09/29/2006
Last updated
11/12/2012
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