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Individual

DEREK TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, CSCS

Contact information

Practice address
315 EAST ST, ALBEMARLE, NC 28001-3425
(704) 985-5472
Mailing address
PO BOX 774, ALBEMARLE, NC 28002-0774

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5466
NC

Other

Enumeration date
08/09/2022
Last updated
08/09/2022
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