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1619755600
JUSTIN ALEXANDER BUCKNOR
LONG BEACH, CA
NPI
1619755600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
JUSTIN ALEXANDER BUCKNOR
3200 LONG BEACH BLVD
LONG BEACH, CA 90807-5062
Phone number: 562-548-6500
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Mailing Address
JUSTIN ALEXANDER BUCKNOR
3200 LONG BEACH BLVD
LONG BEACH, CA 90807-5062
Phone number: 562-548-6500
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