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1558193672
ALVA PUCKETT
LANCASTER, OH
NPI
1558193672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OH APS.005380)
Enumeration Date
2024-08-16
Last Update Date
2024-08-16
Business Address
ALVA PUCKETT CPRS
551 E MAIN ST
LANCASTER, OH 43130-3809
Phone number: 614-404-6008
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Mailing Address
ALVA PUCKETT CPRS
PO BOX 243
SUGAR GROVE, OH 43155-0243
Phone number: 614-779-5287
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