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Individual

SARA BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
Mailing address
555 AUBURN ST, MANCHESTER, NH 03103-4803

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1461
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13Y003469NH01
ANTHEM
NH
01
367593
MVP
NH
Enumeration date
01/31/2007
Last updated
04/29/2010
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