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1750019535
CAROLINE PRUITT IRONS
BOISE, ID
NPI
1750019535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-5440)
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
CAROLINE PRUITT IRONS
1529 S TIMESQUARE LN
BOISE, ID 83709-8201
Phone number: 208-343-1981
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Mailing Address
CAROLINE PRUITT IRONS
534 BRANBURY CT
BRANDON, MS 39047-8019
Phone number: 601-325-6319
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