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Individual

ADRIENNE A PRATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1760 MCCULLOCH BLVD N STE A-102, LAKE HAVASU CITY, AZ 86403-6976
(928) 453-0303
(928) 453-0338
Mailing address
1760 MCCULLOCH BLVD N STE A-102, LAKE HAVASU CITY, AZ 86403-6976
(928) 453-0303
(928) 453-0338

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADE12728
AZ

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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