ALVA PUCKETT

LANCASTER, OH
NPI1558193672
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: OH  APS.005380)
Enumeration Date2024-08-16
Last Update Date2024-08-16
Business Address
ALVA PUCKETT CPRS
551 E MAIN ST
LANCASTER, OH 43130-3809
Phone number: 614-404-6008
Mailing Address
ALVA PUCKETT CPRS
PO BOX 243
SUGAR GROVE, OH 43155-0243
Phone number: 614-779-5287
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