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1144720731
LAURA PRUITT
FORT SMITH, AR
NPI
1144720731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
LAURA PRUITT MHPP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
LAURA PRUITT MHPP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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