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1598315178
TERRY GAY PUCKETT
SAN ANTONIO, TX
NPI
1598315178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-09-16
Last Update Date
2019-09-16
Business Address
TERRY GAY PUCKETT
136 PALOMA DR
SAN ANTONIO, TX 78212-1771
Phone number: 210-826-8210
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Mailing Address
TERRY GAY PUCKETT
136 PALOMA DR
SAN ANTONIO, TX 78212-1771
Phone number: 210-826-8210
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