Tracy Pruitt

NPI #1023520079 in Pryor, Oklahoma

Provider Information

NPI Number: 1023520079
Entity Type: Individual
Name: Tracy Pruitt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Oct 31, 2017
Last Updated: Oct 31, 2017

Practice Location

Address: 231 E GRAHAM AVE
City: Pryor
State: Oklahoma
ZIP Code: 74361-2436
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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