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1902979966
JACQUELYN SHURON PRUITT
SACRAMENTO, CA
NPI
1902979966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA RN239033)
Enumeration Date
2006-11-16
Last Update Date
2009-02-16
Business Address
Mrs. JACQUELYN SHURON PRUITT NP
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-688-4340
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Mailing Address
Mrs. JACQUELYN SHURON PRUITT NP
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-688-4340
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