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1790940666
LATASHA PRUITT
GREENVILLE, SC
NPI
1790940666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 3619)
Enumeration Date
2008-07-21
Last Update Date
2021-09-21
Business Address
LATASHA PRUITT DNP, FNP-BC
3901 PELHAM RD
GREENVILLE, SC 29615-5004
Phone number: 864-288-3672
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Mailing Address
LATASHA PRUITT DNP, FNP-BC
3901 PELHAM RD
GREENVILLE, SC 29615-5004
Phone number: 864-288-3672
Copy
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