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Individual
SUZANN CHESEBROUGH-PRUITT
Active
Individual
SUZANN CHESEBROUGH-PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
378571
CA
163WC1500X
Community Health Registered Nurse
Primary
RN25706
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
378571
R.N. LICENSE
CA
01
—
RN25706
RN LICENSE
NV
Enumeration date
12/11/2012
Last updated
12/26/2013
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