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Individual
NATHALIE MARTINE PRUNET
Active
Individual
NATHALIE MARTINE PRUNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8459
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079MV
BCBS
NC
Enumeration date
03/30/2007
Last updated
07/08/2007
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