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Individual

RONALD ETHAN PRATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
0202216140
VA
1835P1200X
Pharmacotherapy Pharmacist
Primary
41545
TN

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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