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Reba Pruett
NPI 1750771317 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4020 Union Cross Rd
Wildersville, TN 38388 - Phone
- (731) 614-7499
- Fax
- (731) 968-4333
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-03
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 Tennessee