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Individual

MACY PUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
316 E MAIN ST, PIKETON, OH 45661-8018
(740) 443-6260
(740) 443-6260
Mailing address
2909 EUCLID AVE, WEST PORTSMOUTH, OH 45663-6319
(800) 321-8293
(800) 321-8293

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OH

Other

Enumeration date
04/09/2026
Last updated
04/09/2026
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