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1720552433
ALLEN MICHAEL BUKOWSKI
FORT CAMPBELL, KY
NPI
1720552433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: TN 11897)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
ALLEN MICHAEL BUKOWSKI PT
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
ALLEN MICHAEL BUKOWSKI PT
105 ASHTON AVE
MOUNT JULIET, TN 37122-1516
Phone number: 218-821-1975
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