Evan Alexandra Buckley
Evan Alexandra Buckley is an Other Technician in Good Thunder, Minnesota. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
843 Chapel StGood Thunder, MN 56037-4002
Phone: (507) 766-1705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1073184057 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 9, 2021 |
| Last updated in NPPES | July 9, 2021 |
| Certification date | July 9, 2021 |
| Mailing address | 843 Chapel St, Good Thunder, MN 56037-4002 |