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Individual

DR. JAMES M PUCKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, LAC

Contact information

Practice address
983 S CREASY LN, LAFAYETTE, IN 47905-4800
(765) 446-0000
Mailing address
983 S CREASY LN, LAFAYETTE, IN 47905-4800
(765) 446-0000

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001350A
IN

Other

Enumeration date
03/14/2006
Last updated
06/04/2009
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