TRACY PRUITT

PRYOR, OK
NPI1023520079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-10-31
Last Update Date2017-10-31
Business Address
TRACY PRUITT
231 E GRAHAM AVE
PRYOR, OK 74361-2436
Phone number: 918-825-1405
Mailing Address
TRACY PRUITT
231 E GRAHAM AVE
PRYOR, OK 74361-2436
Phone number: 918-825-1405