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1891804779
THOMAS CARL PRUETT
RIVERTON, WY
NPI
1891804779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WY WY 2930A)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
DR. THOMAS CARL PRUETT MD
2300 ROSE LN
RIVERTON, WY 82501-2257
Phone number: 307-857-1211
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Mailing Address
DR. THOMAS CARL PRUETT MD
534 N FORK RD
LANDER, WY 82520-9108
Phone number: 307-332-2434
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