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1376929943
TANESH L BUCKNER
COLUMBUS, GA
NPI
1376929943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN207420)
Enumeration Date
2015-08-06
Last Update Date
2019-11-15
Business Address
TANESH L BUCKNER NP-C
1600 FORT BENNING RD
COLUMBUS, GA 31903-2834
Phone number: 706-322-9599
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Mailing Address
TANESH L BUCKNER NP-C
1600 FORT BENNING RD
COLUMBUS, GA 31903-2834
Phone number: 706-322-9599
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