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1497396618
JENNA PRUITT
FORT MEADE, SD
NPI
1497396618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MT OTP-OT-LIC-5358)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
JENNA PRUITT OTD, OTR/L
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-347-2511
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Mailing Address
JENNA PRUITT OTD, OTR/L
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number:
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