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1225618655
LATERICA D. PRUITT
FORT WORTH, TX
NPI
1225618655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP1054625)
Enumeration Date
2021-04-09
Last Update Date
2022-11-07
Business Address
LATERICA D. PRUITT FNP
801 7TH AVE
FORT WORTH, TX 76104-2796
Phone number: 682-885-4000
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Mailing Address
LATERICA D. PRUITT FNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483
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