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Individual

MR. AUBREY RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3837 NORTH TER APT B, CHATTANOOGA, TN 37411-5139
(423) 313-8660
Mailing address
3837 NORTH TER APT B, CHATTANOOGA, TN 37411-5139
(423) 313-8660

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
099785225
TN

Other

Enumeration date
05/02/2016
Last updated
05/02/2016
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