Individual
MR. RALPH EDWARD PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 E COURT ST., ATOKA, OK 74525
(580) 889-3399
Mailing address
133 W MT. CARMEL RD., CANEY, OK 74533
(580) 889-5788
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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