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1558963751
SONIA J PRUETT
BLOOMINGTON, IN
NPI
1558963751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71010555A)
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
SONIA J PRUETT NP
583 S CLARIZZ BLVD
BLOOMINGTON, IN 47401-5515
Phone number: 812-676-4460
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Mailing Address
SONIA J PRUETT NP
583 S CLARIZZ BLVD
BLOOMINGTON, IN 47401-5515
Phone number: 812-676-4460
Copy
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