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Individual

TERRY GAY PUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
136 PALOMA DR, SAN ANTONIO, TX 78212-1771
(210) 826-8210
Mailing address
136 PALOMA DR, SAN ANTONIO, TX 78212-1771
(210) 826-8210

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/16/2019
Last updated
09/16/2019
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