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1093266371
TRACY PRUETT
SAN BERNARDINO, CA
NPI
1093266371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- TRACY PRUETT
1135 N D ST
SAN BERNARDINO, CA 92410-3523
Phone number: 909-381-3774
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Mailing Address
-- TRACY PRUETT
1135 N D ST
SAN BERNARDINO, CA 92410-3523
Phone number: 909-381-3774
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