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Individual

JACQUELINE RENEE BUCKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
13030 121ST WAY NE, #204, KIRKLAND, WA 98034-3008
(404) 808-4486
Mailing address
13030 121ST WAY NE, #204, KIRKLAND, WA 98034-3008
(404) 808-4486

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60311158
WA

Other

Enumeration date
08/07/2011
Last updated
10/15/2012
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