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1013353986
TANIKA PRUITT
TRUMANN, AR
NPI
1013353986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-05-17
Last Update Date
2013-05-17
Business Address
-- TANIKA PRUITT
417 W MAIN ST STE B
TRUMANN, AR 72472-3116
Phone number: 870-483-7039
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Mailing Address
-- TANIKA PRUITT
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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