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1366136749
COURTNEY AMBER PRUETT
PONCA CITY, OK
NPI
1366136749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-07
Last Update Date
2023-06-07
Business Address
COURTNEY AMBER PRUETT
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 580-749-5056
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Mailing Address
COURTNEY AMBER PRUETT
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number:
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