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1801582481
IDRIS BUKE
VILLA RICA, GA
NPI
1801582481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA RN216420)
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
Mr. IDRIS BUKE PMHNP-BC
20 HERRELL RD
VILLA RICA, GA 30180-5527
Phone number: 770-812-3266
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Mailing Address
Mr. IDRIS BUKE PMHNP-BC
20 HERRELL RD
VILLA RICA, GA 30180-5527
Phone number: 770-292-0926
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