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1083322333
GRACE PARK PRUITT
TACOMA, WA
NPI
1083322333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2022-11-07
Last Update Date
2024-01-25
Business Address
GRACE PARK PRUITT
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-4184
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Mailing Address
GRACE PARK PRUITT
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-4184
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