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1801167853
GARY STEPHEN PUCKETT
SIGNAL HILL, CA
NPI
1801167853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 13517)
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
Dr. GARY STEPHEN PUCKETT PH.D.
2104 SEA RIDGE DR
SIGNAL HILL, CA 90755-3779
Phone number: 562-599-0865
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Mailing Address
Dr. GARY STEPHEN PUCKETT PH.D.
2104 SEA RIDGE DR
SIGNAL HILL, CA 90755-3779
Phone number: 562-599-0865
Copy
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