FREDERICK PRUITT

CHILLICOTHE, OH
NPI1992164768
Professional NameFREDERICK PRUITT
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  18764NP)
Enumeration Date2016-02-22
Last Update Date2016-02-22
Business Address
-- FREDERICK PRUITT
17273 STATE ROUTE 104
CHILLICOTHE, OH 45601-9718
Phone number: 937-382-3949
Mailing Address
-- FREDERICK PRUITT
17273 STATE ROUTE 104
CHILLICOTHE, OH 45601
Phone number: 937-382-3949
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