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1992040448
MARY ELLEN PUCKETT
SILVER SPRING, MD
NPI
1992040448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MD R196603)
Enumeration Date
2012-12-10
Last Update Date
2012-12-10
Business Address
Mrs. MARY ELLEN PUCKETT Registered Nurse
12501 PROSPERITY DR 100
SILVER SPRING, MD 20904-1689
Phone number: 301-681-6730
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Mailing Address
Mrs. MARY ELLEN PUCKETT Registered Nurse
12501 PROSPERITY DR 100
SILVER SPRING, MD 20904-1689
Phone number: 301-681-6730
Copy
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