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Individual

DR. CHARLES THOMAS TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2516 NW 43RD ST, GAINESVILLE, FL 32606-7491
(352) 378-3787
(352) 378-4004
Mailing address
2516 NW 43RD ST, GAINESVILLE, FL 32606-7491
(352) 378-3787
(352) 378-4004

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3743
FL

Other

Enumeration date
06/26/2006
Last updated
07/08/2007
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