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1295963577
TIGE BUCKNER
COMMERCE, CA
NPI
1295963577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2009-06-25
Last Update Date
2009-06-25
Business Address
-- TIGE BUCKNER
6055 E WASHINGTON BLVD SUITE 900
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
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Mailing Address
-- TIGE BUCKNER
8401 S VERMONT AVE
LOS ANGELES, CA 90044-3423
Phone number: 323-557-6457
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