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1265827083
LIESE PRUITT
SALT LAKE CITY, UT
NPI
1265827083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: UT 10108478-1205)
Enumeration Date
2015-03-30
Last Update Date
2016-10-11
Business Address
-- LIESE PRUITT M.D.
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-6803
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Mailing Address
-- LIESE PRUITT M.D.
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-6803
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