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1184376527
LAURA KATHERINE PUCKETT
TEMPLE, TX
NPI
1184376527
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Former Name
LAURA KATHERINE HENSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT86207)
Enumeration Date
2022-01-26
Last Update Date
2022-04-07
Business Address
LAURA KATHERINE PUCKETT RD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2397
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Mailing Address
LAURA KATHERINE PUCKETT RD
PO BOX 844658
DALLAS, TX 75284-2965
Phone number: 254-724-2111
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