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Organization
PRUITT CHIROPRACTIC PLLC
Active
Organization
PRUITT CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY PRUITT IV DC (CHIROPRACTOR)
(817) 929-3041
Entity
Organization
Contact information
Practice address
103 E LONE STAR AVE, CLEBURNE, TX 76031-3226
(817) 645-8116
Mailing address
103 E LONE STAR AVE, CLEBURNE, TX 76031-3226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
12/02/2021
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