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1114012911
KRISTEN AGNEW PRUITT
GAINESVILLE, GA
NPI
1114012911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT004847)
Enumeration Date
2006-10-04
Last Update Date
2007-07-09
Business Address
Mrs. KRISTEN AGNEW PRUITT M.S, PT
4615 ENFIELD DR
GAINESVILLE, GA 30506-4663
Phone number: 678-450-1174
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Mailing Address
Mrs. KRISTEN AGNEW PRUITT M.S, PT
4615 ENFIELD DR
GAINESVILLE, GA 30506-4663
Phone number: 678-450-1174
Copy
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