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1013532498
JACKSON THOMAS PRUETT
FAYETTEVILLE, NC
NPI
1013532498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P19589)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
Dr. JACKSON THOMAS PRUETT PT, DPT
5860 YADKIN RD
FAYETTEVILLE, NC 28303-2668
Phone number: 910-491-5164
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Mailing Address
Dr. JACKSON THOMAS PRUETT PT, DPT
953 BUTLER DR
ERWIN, NC 28339-8519
Phone number: 919-451-0212
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