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Individual
LISA M PUFKY I
Active
Individual
LISA M PUFKY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
621751
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621751
621751
CA
Enumeration date
12/22/2020
Last updated
12/22/2020
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