STEPHEN J PRUETT

RACINE, WI
NPI1427070259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WI  1963-035)
Enumeration Date2006-07-24
Last Update Date2011-04-18
Business Address
-- STEPHEN J PRUETT
3805B SPRING ST SUITE 140
RACINE, WI 53405-1641
Phone number: 262-637-8835
Mailing Address
-- STEPHEN J PRUETT
3805B SPRING ST SUITE 140
RACINE, WI 53405-1641
Phone number: 262-637-8835
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