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1225408057
SALLY DEE PUCKETT
LITTLE ROCK, AR
NPI
1225408057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AR A004531)
Enumeration Date
2015-10-06
Last Update Date
2018-11-07
Business Address
Mrs. SALLY DEE PUCKETT APRN
1 CHILDRENS WAY
LITTLE ROCK, AR 72202-3500
Phone number: 501-364-1977
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Mailing Address
Mrs. SALLY DEE PUCKETT APRN
1 CHILDREN'S WAY SLOT 844
LITTLE ROCK, AR 72202-3500
Phone number: 501-364-2090
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