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1205354438
ALYSSA PUCKETT
HOUMA, LA
NPI
1205354438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09806)
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
ALYSSA PUCKETT DPT
7843 PARK AVE
HOUMA, LA 70364-3112
Phone number: 985-876-5322
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Mailing Address
ALYSSA PUCKETT DPT
7843 WEST PARK AVENUE
HOUMA, LA 70364
Phone number:
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