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Organization
PRUETER ENTERPRISES LTD
Active
Organization
PRUETER ENTERPRISES LTD
Active
Other names
GREAT LAKES MEDICAL STAFFING
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN KYLE PRUETER (PRESIDENT)
(419) 872-5343
Entity
Organization
Contact information
Practice address
1021 SANDUSKY ST STE B, PERRYSBURG, OH 43551-3120
(419) 872-5343
(419) 872-7465
Mailing address
1021 SANDUSKY ST STE B, PERRYSBURG, OH 43551-3120
(419) 872-5343
(419) 872-7465
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1103334
OH
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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