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1578857959
JUDITH PUCKETT
RUSSELLVILLE, AR
NPI
1578857959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-06-03
Last Update Date
2011-06-03
Business Address
-- JUDITH PUCKETT
3205 W MAIN ST
RUSSELLVILLE, AR 72801-2301
Phone number: 479-967-4673
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Mailing Address
-- JUDITH PUCKETT
5537 BLEAUX AVE
SPRINGDALE, AR 72762-0737
Phone number: 479-872-5580
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