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1538654405
TERRI AMANDA PRUITT
TAHLEQUAH, OK
NPI
1538654405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: OK 88775)
Enumeration Date
2018-06-24
Last Update Date
2018-06-24
Business Address
TERRI AMANDA PRUITT APRN-CNP
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
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Mailing Address
TERRI AMANDA PRUITT APRN-CNP
1555 REDWOOD PL
TAHLEQUAH, OK 74464-6050
Phone number: 918-931-2996
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