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Jessica Pruitt
NPI 1932528007 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1638 Old Golden Hwy
Broken Bow, OK 74728 - Phone
- (580) 236-3575
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma