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1033696885
AMBER MICHELLE PRUITT
BRIDGETON, MO
NPI
1033696885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
AMBER MICHELLE PRUITT
3165 MCKELVEY RD STE 200
BRIDGETON, MO 63044-2550
Phone number: 314-206-3900
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Mailing Address
AMBER MICHELLE PRUITT
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103-2303
Phone number:
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