ALLAN DALLAS PUCKETT

XENIA, OH
NPI1720275787
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN113154)
Enumeration Date2007-10-03
Last Update Date2007-10-03
Business Address
Mr. ALLAN DALLAS PUCKETT LPN
1608 TEXAS CT
XENIA, OH 45385-4864
Phone number: 937-372-5327
Mailing Address
Mr. ALLAN DALLAS PUCKETT LPN
1608 TEXAS CT
XENIA, OH 45385-4864
Phone number: 937-372-5327
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