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1659977155
CARLY PRUCKNER
NASHVILLE, TN
NPI
1659977155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 4369)
Enumeration Date
2020-12-09
Last Update Date
2023-03-03
Business Address
CARLY PRUCKNER PA-C
1624 RIVERSIDE DR
NASHVILLE, TN 37216-4012
Phone number: 814-440-1977
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Mailing Address
CARLY PRUCKNER PA-C
1624 RIVERSIDE DR
NASHVILLE, TN 37216-4012
Phone number: 814-440-1977
Copy
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