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1144575382
JOHNNY JASON BUCK
PHOENIX, AZ
NPI
1144575382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AZ LPC-13746)
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
DR. JOHNNY JASON BUCK LPC
14256 S 47TH ST
PHOENIX, AZ 85044-6205
Phone number: 480-510-8502
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Mailing Address
DR. JOHNNY JASON BUCK LPC
14256 S 47TH ST
PHOENIX, AZ 85044-6205
Phone number: 480-510-8502
Copy
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