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1356506125
RICK DEAN PUCKETT
GREENSBORO, NC
NPI
1356506125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
MR. RICK DEAN PUCKETT C.PED
377 S SWING RD
GREENSBORO, NC 27409-2009
Phone number: 336-316-1166
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Mailing Address
MR. RICK DEAN PUCKETT C.PED
377 S SWING RD
GREENSBORO, NC 27409-2009
Phone number: 336-316-1166
Copy
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