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Organization

BUCLAW, LLC

Active
Other names
AGLA Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT EDWARD BUCLAW III D.C. (OWNER/MEMBER-MANAGER)
(253) 632-5320
Entity
Organization

Contact information

Practice address
1707 S 341ST PL STE A, FEDERAL WAY, WA 98003-6867
(253) 632-5320
(253) 214-7444
Mailing address
P.O. BOX 23955, FEDERAL WAY, WA 98093
(253) 632-5320
(253) 214-7444

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034618
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0346488
WA STATE LABOR AND INDUSTRIES PIN
WA
Enumeration date
12/10/2009
Last updated
01/16/2020
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