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1487100616
KEVIN BUFFHAM
FAIRBANKS, AK
NPI
1487100616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 111970)
Enumeration Date
2016-08-28
Last Update Date
2016-08-29
Business Address
-- KEVIN BUFFHAM
1919 LATHROP ST STE 123
FAIRBANKS, AK 99701-5937
Phone number: 907-455-4401
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Mailing Address
-- KEVIN BUFFHAM
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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