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1750540373
SHANE PRUITT
LUBBOCK, TX
NPI
1750540373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 723546)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
-- SHANE PRUITT RN
1318 BROADWAY
LUBBOCK, TX 79401-3206
Phone number: 806-765-2611
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Mailing Address
-- SHANE PRUITT RN
1313 BROADWAY SUITE 5
LUBBOCK, TX 79401-3277
Phone number: 806-765-2611
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