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Individual

MR. JOSEPH BUKASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
207 W COLLEGE ST, LEWISVILLE, TX 75057-3855
(972) 803-7272
(972) 221-9305
Mailing address
207 W COLLEGE ST, LEWISVILLE, TX 75057-3855
(972) 803-7272
(972) 221-9305

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TRANSPORTATION
TX
Enumeration date
01/15/2016
Last updated
01/15/2016
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