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1265270920
KEETON BUFFUM
WINONA, MS
NPI
1265270920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MS RBT-24-323976)
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
KEETON BUFFUM
515 SIMPSON DR
WINONA, MS 38967-3009
Phone number: 769-233-7154
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Mailing Address
KEETON BUFFUM
105 BAY MEADOWS DR
STARKVILLE, MS 39759-6612
Phone number: 601-405-9011
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