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1487044541
MARISSA BUCKNER
MOORE, OK
NPI
1487044541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 99136)
Enumeration Date
2015-01-28
Last Update Date
2017-04-20
Business Address
-- MARISSA BUCKNER FNP-C
2900 S TELEPHONE RD SUITE 250
MOORE, OK 73160-2968
Phone number: 405-237-7500
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Mailing Address
-- MARISSA BUCKNER FNP-C
10528 APPLEGROVE CIR
MIDWEST CITY, OK 73130-7060
Phone number: 405-237-7500
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