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1174088769
WESLEY RYAN PRUITT
DENVER, CO
NPI
1174088769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPC.0014168)
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
WESLEY RYAN PRUITT
1735 PONTIAC ST
DENVER, CO 80220-1831
Phone number: 405-413-7119
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Mailing Address
WESLEY RYAN PRUITT
1735 PONTIAC ST
DENVER, CO 80220-1831
Phone number: 405-413-7119
Copy
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