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1134994809
TRAVERS LESTER PRUITT
KAPOLEI, HI
NPI
1134994809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: HI RBT-23-310466)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
MR. TRAVERS LESTER PRUITT
1001 KAMOKILA BLVD STE 210
KAPOLEI, HI 96707-2096
Phone number: 808-591-6060
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Mailing Address
MR. TRAVERS LESTER PRUITT
1001 KAMOKILA BLVD STE 210
KAPOLEI, HI 96707-2096
Phone number: 808-591-6060
Copy
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