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1972645117
TIMOTHY O PRUETT
SPRINGFIELD, MO
NPI
1972645117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 112446)
Enumeration Date
2007-02-13
Last Update Date
2008-07-14
Business Address
-- TIMOTHY O PRUETT FNP
1900 S NATIONAL AVE SUITE 3600
SPRINGFIELD, MO 65804-2265
Phone number: 417-820-3911
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Mailing Address
-- TIMOTHY O PRUETT FNP
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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