Individual
MRS. DORA G PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
405 CHILLICOTHE ST, JACKSON, OH 45640-1207
(740) 395-3114
(740) 596-2632
Mailing address
PO BOX 342, JACKSON, OH 45640-0342
(740) 395-3114
(740) 596-2632
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN 283599
OH
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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