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1194707745
ANDREW L PRUITT
BOULDER, CO
NPI
1194707745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 178)
Enumeration Date
2005-11-18
Last Update Date
2013-01-23
Business Address
-- ANDREW L PRUITT P.A.
311 MAPLETON AVE
BOULDER, CO 80304-3979
Phone number: 303-544-5700
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Mailing Address
-- ANDREW L PRUITT P.A.
345 MAXWELL AVE
BOULDER, CO 80304-3972
Phone number: 303-544-5783
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