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1265727408
JASON SCOTT PUCKETT
GRAND RAPIDS, MI
NPI
1265727408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MI 4301111232)
Enumeration Date
2011-06-16
Last Update Date
2021-08-03
Business Address
JASON SCOTT PUCKETT MD
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-7414
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Mailing Address
JASON SCOTT PUCKETT MD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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