LACEY DANIEL PRUITT

DACULA, GA
NPI1588533764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN230950)
Enumeration Date2025-11-04
Last Update Date2025-11-04
Business Address
LACEY DANIEL PRUITT
3603 MARYS VIEW LN
DACULA, GA 30019-1616
Phone number: 678-852-8707
Mailing Address
LACEY DANIEL PRUITT
3603 MARYS VIEW LN
DACULA, GA 30019-1616
Phone number: 678-852-8707
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