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1407961410
PAUL LAVAL PUCKETT
GREENVILLE, TX
NPI
1407961410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA02778)
Enumeration Date
2006-08-20
Last Update Date
2024-06-12
Business Address
PAUL LAVAL PUCKETT PAC
4215 JOE RAMSEY BLVD
GREENVILLE, TX 75403
Phone number: 903-408-5000
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Mailing Address
PAUL LAVAL PUCKETT PAC
2464 FM 2820
SUMMER, TX 75486
Phone number: 903-784-1291
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