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NPI 1558744201

IndividualActive

Randal Pruit

NPI 1558744201 · Health Educator · Clovis, NM

Provider details

NPI number: 1558744201
Entity type: Individual
Primary specialty: Health EducatorOther Service Providers
Sex: Male
Sole proprietor: Yes

Practice location

2101 N Main St

Clovis, NM 88101-3511

Phone: (575) 693-6205

More NM providers

Mailing address

2101 N Main St

Clovis, NM 88101-3511

Registry dates

Enumerated: 2015-06-30
Last updated: 2015-06-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Randal Pruit — NPI 1558744201, Clovis, NM | NPI Central