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Individual
MR. JAMES GERALD TUCKER
Active
Individual
MR. JAMES GERALD TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT PHYSICAL THERAPIS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
673905
ACN GROUP OF CA
CA
01
—
OPT204630
BLUE SHIELD OF CA
CA
Enumeration date
12/19/2006
Last updated
07/08/2007
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