RICHARD PUCKETT

GRAND RAPIDS, MN
NPI1639275761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: MN  1835)
Enumeration Date2006-09-16
Last Update Date2007-07-09
Business Address
-- RICHARD PUCKETT LPMED
2618 EMERALD DR
GRAND RAPIDS, MN 55744-5060
Phone number: 218-327-9013
Mailing Address
-- RICHARD PUCKETT LPMED
2618 EMERALD DR
GRAND RAPIDS, MN 55744-5060
Phone number: 218-327-9013
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