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Individual

MARK ARMSTRONG BUCKLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
984 CALLE CONTENTO, THOUSAND OAKS, CA 91360-6105
(805) 231-2960
Mailing address
984 CALLE CONTENTO, THOUSAND OAKS, CA 91360-6105
(805) 231-2960

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
12-00023374
CA

Other

Enumeration date
10/11/2012
Last updated
10/11/2012
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