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1851707962
MEAGAN WALLACE PUCKETT
GARNER, NC
NPI
1851707962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5006975)
Enumeration Date
2014-07-09
Last Update Date
2014-08-26
Business Address
Mrs. MEAGAN WALLACE PUCKETT NP
5680 NC HIGHWAY 42 W
GARNER, NC 27529-8120
Phone number: 191-977-2895
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Mailing Address
Mrs. MEAGAN WALLACE PUCKETT NP
5680 NC HIGHWAY 42 W
GARNER, NC 27529-8120
Phone number:
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