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Individual
MS. JUDIE PRUETT
Active
Individual
MS. JUDIE PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
960965
DC
363LA2200X
Adult Health Nurse Practitioner
Primary
960965
DC
363LG0600X
Gerontology Nurse Practitioner
960965
DC
Other
Enumeration date
09/05/2006
Last updated
10/29/2007
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