Individual
DANIELLE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 WEST SMISER STREET, CALERA, OK 74730-0308
(580) 434-5700
(580) 434-5800
Mailing address
308 WEST SMISER STREET, CALERA, OK 74730-0308
(580) 434-5700
(580) 434-5800
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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