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1366961104
JULIANNE JOY PRUETT
CARROLLTON, TX
NPI
1366961104
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Former Name
JULIANNE JOY KUCERA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11554)
Enumeration Date
2017-09-13
Last Update Date
2023-07-05
Business Address
JULIANNE JOY PRUETT PA
4780 N JOSEY LN
CARROLLTON, TX 75010-4615
Phone number: 972-492-1334
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Mailing Address
JULIANNE JOY PRUETT PA
4780 N JOSEY LN
CARROLLTON, TX 75010-4615
Phone number: 972-492-1334
Copy
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