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1538147533
MICHELLE ANTOINETTE PRUETT
AUSTIN, TX
NPI
1538147533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA03096)
Enumeration Date
2006-01-09
Last Update Date
2014-02-11
Business Address
-- MICHELLE ANTOINETTE PRUETT PA C
5625 EIGER RD
AUSTIN, TX 78735-8976
Phone number: 512-892-7076
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Mailing Address
-- MICHELLE ANTOINETTE PRUETT PA C
5625 EIGER RD
AUSTIN, TX 78735-8976
Phone number: 512-892-7076
Copy
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