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1710463500
MACEY PRUETT
WICHITA, KS
NPI
1710463500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 2084)
Enumeration Date
2018-07-14
Last Update Date
2018-07-14
Business Address
MACEY PRUETT OD
982 N TYLER RD STE A
WICHITA, KS 67212-3271
Phone number: 316-722-6452
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Mailing Address
MACEY PRUETT OD
540 N DORIS ST
WICHITA, KS 67212-2431
Phone number: 316-680-5346
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