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Individual

JENNIFER PUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
5715 US HIGHWAY 22 E, NEW HOLLAND, OH 43145-9616
(740) 572-1206
Mailing address
5715 US HIGHWAY 22 E, NEW HOLLAND, OH 43145-9616
(740) 572-1206

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.295068
OH

Other

Enumeration date
10/12/2007
Last updated
10/12/2007
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