# JESSIE R. PRUITT DBA SLEEP 2 GO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447536057
- **Authorized official:** MS. JESSIE RAYLENE PRUITT C.R.T. (OWNER)
- **Authorized official phone:** (806) 322-0941

## Contact information

- **Practice address:** 6652 CANYON DR STE 3, AMARILLO, TX 79109-7013
- **Practice address phone:** (806) 322-0941
- **Mailing address:** 6652 CANYON DR STE 3, AMARILLO, TX 79109-7013
- **Mailing address phone:** (806) 322-0941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000557 | TX | Yes |

## Other

- **Enumeration date:** 10/26/2011
- **Last updated:** 10/26/2011
