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1043810625
DIANE MARIE PRUITT
LEESBURG, FL
NPI
1043810625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS30320)
Enumeration Date
2020-10-31
Last Update Date
2020-10-31
Business Address
DIANE MARIE PRUITT Rph
2501 CITRUS BLVD
LEESBURG, FL 34748-7204
Phone number: 352-326-4044
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Mailing Address
DIANE MARIE PRUITT Rph
1820 SHORE LINE DR
LEESBURG, FL 34748-8148
Phone number: 352-636-5158
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