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Puppy mills are everywhere, though there is a large concentration in the Midwest. Missouri has the largest number of puppy mills in the United States. Amish and Mennonite communities (particularly in Ohio, Indiana, and Pennsylvania) also have large concentrations of puppy mills.
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Puppy mills are nationwide.

Many, however, are concentrated in the agricultural states, such as Arkansas, Iowa, Kansas, Missouri, Nebraska, Oklahoma, and South Dakota.

In Lancaster County, Pennsylvania, the Amish are mass-producing puppies.

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