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1801410253
STACEY BUCKNER
CHATTANOOGA, TN
NPI
1801410253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 27616)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
STACEY BUCKNER
207 BOOTH RD
CHATTANOOGA, TN 37411-2702
Phone number: 423-298-3650
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Mailing Address
STACEY BUCKNER
207 BOOTH RD
CHATTANOOGA, TN 37411-2702
Phone number: 423-413-0502
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