EARL BUCKHANAN

JACKSON, MS
NPI1548777428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-01-02
Last Update Date2018-01-02
Business Address
EARL BUCKHANAN
460 BRIARWOOD DR STE 510
JACKSON, MS 39206-3057
Phone number: 601-956-4816
Mailing Address
EARL BUCKHANAN
PO BOX 13509
JACKSON, MS 39236-3509
Phone number: 662-401-2752
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