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1598867079
TINA LOUISE BUCKNER
SAN DIEGO, CA
NPI
1598867079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA PSY16874)
Enumeration Date
2006-09-03
Last Update Date
2007-07-08
Business Address
TINA LOUISE BUCKNER PSY.D.
3130 5TH AVE
SAN DIEGO, CA 92103-5839
Phone number: 619-574-0924
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Mailing Address
TINA LOUISE BUCKNER PSY.D.
3130 5TH AVE
SAN DIEGO, CA 92103-5839
Phone number: 619-574-0924
Copy
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