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1760978449
EMILY DIANE PRUITT
WINNSBORO, LA
NPI
1760978449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP10208)
Enumeration Date
2018-07-06
Last Update Date
2018-09-21
Business Address
EMILY DIANE PRUITT
2106 LOOP RD
WINNSBORO, LA 71295-3344
Phone number: 318-435-9411
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Mailing Address
EMILY DIANE PRUITT
2106 LOOP RD
WINNSBORO, LA 71295-3344
Phone number: 318-435-9411
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