NPI 1558744201

Randal Pruit

Practitioner Health Educator Clovis, NM

Practice location

Address: 2101 N Main St, Clovis, NM 88101-3511
Phone: (575) 693-6205

Registered specialties (3)

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Interpreter

Other Service Providers Taxonomy 171R00000X

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Vehicle Modifications Contractor

Other Service Providers Taxonomy 171WV0202X

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Registry record

NPI: 1558744201
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2015
Record last updated: 30 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.