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1508690686
WYATT PRATT
AUGUSTA, GA
NPI
1508690686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC 275174)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
WYATT PRATT RN
3100 PERIMETER PKWY
AUGUSTA, GA 30909-4583
Phone number: 706-651-0005
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Mailing Address
WYATT PRATT RN
112 LECOMPTE AVE
NORTH AUGUSTA, SC 29841-3032
Phone number: 804-873-0353
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