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Individual

MR. C ROBERT PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CORONER

Contact information

Practice address
510 OAK ST, ROOM 5, NEZPERCE, ID 83543-5064
(208) 937-2698
Mailing address
510 OAK ST, ROOM 5, NEZPERCE, ID 83543-5064
(208) 937-2698

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary

Other

Enumeration date
12/22/2009
Last updated
12/22/2009
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