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1366507683
JEFFREY D PRUIETT
YAKIMA, WA
NPI
1366507683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00006385)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY D PRUIETT DMD
719 N 39TH AVE SUITE 102
YAKIMA, WA 98902-6302
Phone number: 509-453-3350
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Mailing Address
Mr. JEFFREY D PRUIETT DMD
719 N 39TH AVE SUITE 102
YAKIMA, WA 98902-6302
Phone number: 509-453-3350
Copy
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