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Organization
OPTIMIZED WELLNESS PC
Active
Organization
OPTIMIZED WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA ANN TUCKER (OWNER)
(618) 530-5079
Entity
Organization
Contact information
Practice address
39 DOROTHY DR, TROY, IL 62294-1389
(618) 530-5079
(618) 844-5021
Mailing address
PO BOX 55, BREESE, IL 62230-0055
(618) 530-5079
(618) 844-5021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
01/22/2024
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