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1043208838
MARLA DIANNE BUCKLES
CLOVIS, NM
NPI
1043208838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 241753)
Enumeration Date
2005-10-06
Last Update Date
2007-10-17
Business Address
Ms. MARLA DIANNE BUCKLES FNP
208 W CASABLANCA AVE 27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM 88103-5009
Phone number: 505-784-6608
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Mailing Address
Ms. MARLA DIANNE BUCKLES FNP
208 W CASABLANCA AVE 27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM 88101-5014
Phone number: 505-784-6605
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