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Last name Puls (Puls , Pouls , Pulkstenis ) , in all the world, is quite a common cognomen. The cognomen Puls is habitual in Germany, where it is quite a rare surname, Latvia, and Netherlands. Not in comparison with a country's population, it most frequently occurs in Germany, the United States, and Netherlands. Much less frequently, Puls is the forename as well as the last name.