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1386981850
LARRY D PRUITT
TACOMA, WA
NPI
1386981850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY60239205)
Enumeration Date
2013-01-03
Last Update Date
2013-01-03
Business Address
Dr. LARRY D PRUITT Ph.D.
9933 W HAYES ST MADIGAN ANX JOINT BASE LEWIS MCCHORD
TACOMA, WA 98431-0001
Phone number: 253-986-2946
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Mailing Address
Dr. LARRY D PRUITT Ph.D.
9933 W HAYES ST MADIGAN ANX JOINT BASE LEWIS MCCHORD
TACOMA, WA 98431-0001
Phone number: 253-986-2946
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