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Individual

MR. BOBBY LEE TUCKER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
150 W MAIN ST, SUITE B, NEW ALBANY, OH 43054-9229
(614) 685-4348
Mailing address
150 WEST MAIN STREET, SUITE B, NEW ALBANY, OH 43054
(614) 332-0262

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.013657-T-Z
OH

Other

Enumeration date
05/06/2015
Last updated
05/06/2015
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