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Individual

MS. LAURA LEA PRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1718 BROOK RIDGE CIRCLE DR, LAWRENCEBURG, IN 47025-9359
(812) 537-4803
Mailing address
1718 BROOK RIDGE CIRCLE DR, LAWRENCEBURG, IN 47025-9359
(812) 537-4803

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000323
OH

Other

Enumeration date
06/23/2006
Last updated
07/08/2007
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