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1306938022
JOHN WILLIS PUCKETT
NEWPORT BEACH, CA
NPI
1306938022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: CA G38172A)
Enumeration Date
2006-09-29
Last Update Date
2014-01-27
Business Address
Dr. JOHN WILLIS PUCKETT MD
520 SUPERIOR AVE #370
NEWPORT BEACH, CA 92663-3637
Phone number: 949-574-7176
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Mailing Address
Dr. JOHN WILLIS PUCKETT MD
520 SUPERIOR AVE #370
NEWPORT BEACH, CA 92663-3637
Phone number: 949-574-7176
Copy
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