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1083312136
LORI PRUNTY
MARTINSBURG, WV
NPI
1083312136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R209562)
Enumeration Date
2023-02-17
Last Update Date
2023-02-17
Business Address
LORI PRUNTY
510 BUTLER AVE
MARTINSBURG, WV 25405-9990
Phone number: 240-385-2156
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Mailing Address
LORI PRUNTY
510 BUTLER AVE
MARTINSBURG, WV 25405-9990
Phone number: 304-263-0811
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