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Individual
MR. DAVID LA VERGNE BUCHANAN
Active
Individual
MR. DAVID LA VERGNE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0247051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247051
PT LIC UNIVERSITY OF STAT
NY
Enumeration date
11/16/2007
Last updated
11/16/2007
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