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Individual
LUKE HOOPER BUFFUM
Active
Individual
LUKE HOOPER BUFFUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8357
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-2280143
STATE TAX ID
NC
Enumeration date
07/16/2006
Last updated
04/18/2018
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