STEPHANIE MARIE PRUITT

DELAND, FL
NPI1255534210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL 1818)
Enumeration Date2007-06-07
Last Update Date2007-07-08
Business Address
Ms. STEPHANIE MARIE PRUITT ATC, LAT
421 WOODLAND BLVD UNIT 8317
DELAND, FL 32723-0001
Phone number: 386-822-7158
Mailing Address
Ms. STEPHANIE MARIE PRUITT ATC, LAT
620 MUSCOVY CIR APT. F
DELAND, FL 32720-1496
Phone number:
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