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Individual

NANCY LYNNE PUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 BERKELEY DRIVE, HAMILTON, OH 45013
(513) 785-2019
Mailing address
24 ANNIE LOU DR., HAMILTON, OH 45013
(513) 887-8404

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1310
OH

Other

Enumeration date
08/14/2008
Last updated
08/14/2008
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