JAMIE R PRUITT

URBANA, IL
NPI1134439177
Former NameJAMIE M RAYBURN PRUITT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209008322)
Enumeration Date2010-10-08
Last Update Date2014-05-09
Business Address
-- JAMIE R PRUITT NP
611 W. PARK ST. OB/GYN
URBANA, IL 61801-2500
Phone number: 217-383-3140
Mailing Address
-- JAMIE R PRUITT NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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