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1154856466
KIM PUCKETT
LAURINBURG, NC
NPI
1154856466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5009466)
Enumeration Date
2017-04-24
Last Update Date
2020-04-20
Business Address
KIM PUCKETT FNP
500 LAUCHWOOD DR
LAURINBURG, NC 28352-5501
Phone number: 910-277-9164
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Mailing Address
KIM PUCKETT FNP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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