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1821141524
JUSTINE M BUCKNAM
TACOMA, WA
NPI
1821141524
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Former Name
JUSTINE MARIE PERKINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP30007471)
Enumeration Date
2007-01-18
Last Update Date
2012-05-02
Business Address
-- JUSTINE M BUCKNAM ARNP
1003 S 5TH ST 3L
TACOMA, WA 98405-4210
Phone number: 253-403-1677
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Mailing Address
-- JUSTINE M BUCKNAM ARNP
1003 S 5TH ST 3L
TACOMA, WA 98405-4210
Phone number: 253-403-1677
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