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Individual

JEFFREY A TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D. C.

Contact information

Practice address
1179 S GENTRY BLVD, GENTRY, AR 72734-9624
(479) 736-8900
(479) 736-5133
Mailing address
PO BOX 936, GENTRY, AR 72734-0936
(479) 736-8900
(479) 736-5133

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1649
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158084718
AR
Enumeration date
07/20/2005
Last updated
03/08/2010
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