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1356835557
TIFFANY PUCKETT
FAIRFIELD, CA
NPI
1356835557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95141247)
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
Ms. TIFFANY PUCKETT RN
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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Mailing Address
Ms. TIFFANY PUCKETT RN
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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