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1104938604
TABITHA FARLEY BUCKNAM
BURTON, MI
NPI
1104938604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
Enumeration Date
2006-08-31
Last Update Date
2008-05-01
Business Address
Prof. TABITHA FARLEY BUCKNAM M.S.
1501 S CENTER RD SUITE B
BURTON, MI 48509-1731
Phone number: 810-742-0225
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Mailing Address
Prof. TABITHA FARLEY BUCKNAM M.S.
1501 S CENTER RD SUITE B
BURTON, MI 48509-1731
Phone number: 810-742-0225
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