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Individual
SEAN BUCKLEY
Active
Individual
SEAN BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
282918
NC
363LF0000X
Family Nurse Practitioner
AP8198
AZ
Other
Enumeration date
10/03/2015
Last updated
09/07/2018
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