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Individual

SHATON TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NRCMA

Contact information

Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
12/04/2018
Last updated
12/04/2018
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