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1659100436
ELIZABETH PRUETT
SAN DIEGO, CA
NPI
1659100436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95030919)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
ELIZABETH PRUETT
555 WASHINGTON ST
SAN DIEGO, CA 92103-2289
Phone number: 619-260-8300
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Mailing Address
ELIZABETH PRUETT
4835 NIAGARA AVE APT 5
SAN DIEGO, CA 92107-6108
Phone number: 864-641-8977
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