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1336704568
BRANDON ELLIOTT BUCKMASTER
VANCOUVER, WA
NPI
1336704568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
BRANDON ELLIOTT BUCKMASTER CDPT
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3044
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Mailing Address
BRANDON ELLIOTT BUCKMASTER CDPT
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number:
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