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1043778004
CORETTA J PRUITT
CHICAGO, IL
NPI
1043778004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-08
Last Update Date
2019-03-08
Business Address
CORETTA J PRUITT
641 W 63RD ST
CHICAGO, IL 60621-2032
Phone number: 224-531-7966
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Mailing Address
CORETTA J PRUITT
641 W 63RD ST
CHICAGO, IL 60621-2032
Phone number: 224-531-7966
Copy
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