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Individual

REGINA HAFFORD PUISSANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
52 GOLF COURSE RD, HAWKINSVILLE, GA 31036-6101
(478) 954-9385
(478) 934-4409
Mailing address
52 GOLF COURSE RD, HAWKINSVILLE, GA 31036-6101
(478) 954-9385
(478) 934-4409

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/23/2014
Last updated
05/23/2014
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