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1821145715
TAMARA BUCKLES
CARBONDALE, IL
NPI
1821145715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036137494)
Enumeration Date
2007-01-04
Last Update Date
2020-10-20
Business Address
TAMARA BUCKLES MD
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
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Mailing Address
TAMARA BUCKLES MD
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number:
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