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1104307669
JAMES PRUITT
NEWPORT, NC
NPI
1104307669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 11553)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
JAMES PRUITT
210 FOXHALL RD
NEWPORT, NC 28570-6790
Phone number: 252-223-2560
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Mailing Address
JAMES PRUITT
504 MAIZE CT
HUBERT, NC 28539-4075
Phone number:
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