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Individual

ROSE M TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
145 CROSS RD, WARTBURG, TN 37887-4332
(865) 824-6099
Mailing address
PO BOX 682, WARTBURG, TN 37887-0682
(865) 824-6099

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000047143
TN

Other

Enumeration date
01/28/2021
Last updated
01/28/2021
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