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1447753520
MALLORY PUCKETT
CANTON, OH
NPI
1447753520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH 022510)
Enumeration Date
2018-03-14
Last Update Date
2018-03-14
Business Address
MALLORY PUCKETT CNP
1445 HARRISON AVE NW
CANTON, OH 44708-2620
Phone number: 330-956-5236
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Mailing Address
MALLORY PUCKETT CNP
2718 RIDGEWOOD AVE
ALLIANCE, OH 44601-4810
Phone number: 740-381-2826
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