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Individual

ELISABETH TUCKOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-1111
Mailing address
1661 COUNTY RD S, SWANTON, OH 43558-9509
(517) 260-2810

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/01/2022
Last updated
08/01/2024
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