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1699707737
BRIAN EDWARD BUCKOSKI
PINEVILLE, LA
NPI
1699707737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
226300000X Kinesiotherapist
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Mr. BRIAN EDWARD BUCKOSKI kt
2495 SHREVEPORT HGY
PINEVILLE, LA 71360
Phone number: 318-473-0010
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Mailing Address
Mr. BRIAN EDWARD BUCKOSKI kt
103 ARLINGTON DR
PINEVILLE, LA 71360-2784
Phone number: 318-640-3545
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