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1245957224
MADELINE PRUITT
ATLANTA, GA
NPI
1245957224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
MADELINE PRUITT
1488 BROOK VALLEY LN NE
ATLANTA, GA 30324-3264
Phone number: 812-629-6321
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Mailing Address
MADELINE PRUITT
1488 BROOK VALLEY LN NE
ATLANTA, GA 30324-3264
Phone number: 812-629-6321
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