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Individual

MRS. LYNETTE R PRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
170 ALTAMIRA AVE, CEDAR CITY, UT 85720
(435) 586-0213
Mailing address
PO BOX 452, CEDAR CITY, UT 84721-0452
(435) 586-0213
(435) 865-9428

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
11/03/2010
Last updated
11/03/2010
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