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1851018188
ANDREW RUSSELL PRATT
PUEBLO, CO
NPI
1851018188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0007692)
Enumeration Date
2022-10-26
Last Update Date
2023-10-24
Business Address
ANDREW RUSSELL PRATT PA-C
1301 E 7TH ST
PUEBLO, CO 81001-3508
Phone number: 719-543-8711
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Mailing Address
ANDREW RUSSELL PRATT PA-C
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711
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