Individual
PATRICIA BUCKMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 420-4390
Mailing address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 420-4390
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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