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1821447657
TENNISHA BUCKNER
TUPELO, MS
NPI
1821447657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 3870-16)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
-- TENNISHA BUCKNER
401 S GLOSTER ST
TUPELO, MS 38801-5540
Phone number: 662-269-4027
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Mailing Address
-- TENNISHA BUCKNER
118A WOODSTONE PL
CLINTON, MS 39056-4936
Phone number:
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