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1275685190
TRAVIS ANDREW PRUNTY
MANKATO, MN
NPI
1275685190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN 12552)
Enumeration Date
2007-01-18
Last Update Date
2017-01-18
Business Address
Dr. TRAVIS ANDREW PRUNTY DDS
730 MADISON AVE
MANKATO, MN 56001-6100
Phone number: 507-388-3023
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Mailing Address
Dr. TRAVIS ANDREW PRUNTY DDS
730 MADISON AVE
MANKATO, MN 56001-6100
Phone number: 507-388-3023
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