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1598036865
JACOB D BUCKLEY
HUNTSVILLE, AL
NPI
1598036865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP9257640)
Enumeration Date
2012-01-19
Last Update Date
2013-01-17
Business Address
JACOB D BUCKLEY CRNA
1 HOSPITAL DR SW
HUNTSVILLE, AL 35801-6455
Phone number: 256-429-5074
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Mailing Address
JACOB D BUCKLEY CRNA
PO BOX 52404
LAFAYETTE, LA 70505-2404
Phone number: 256-429-5071
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