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1871646497
JOHN KENNETH BUKENBERGER
BISHOP, CA
NPI
1871646497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA mfc24829)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- JOHN KENNETH BUKENBERGER mft
52 N TU SU LN
BISHOP, CA 93514-8058
Phone number: 760-873-6394
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Mailing Address
-- JOHN KENNETH BUKENBERGER mft
PO BOX 7979
MAMMOTH LAKES, CA 93546-7979
Phone number: 760-935-4957
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