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Individual

MITCHELL RYAN BUCKMASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
702 S UTICA AVE, TULSA, OK 74104-3213
(713) 826-9594
Mailing address
702 S UTICA AVE, TULSA, OK 74104-3213
(713) 826-9594

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017390
VA

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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