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Contact Information

RANDAL PRUIT
2101 N MAIN ST
CLOVIS, NM88101-3511
 Phone: 575-693-6205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
 

Interpreter

171R00000X
 

Vehicle Modifications

171WV0202X
Indicates primary specialty

NPI Profile & details for RANDAL PRUIT · (Male)

NPI Number 1558744201
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2015
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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