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1215357793
CRYSTAL NICOLE PRUITT
LOMA LINDA, CA
NPI
1215357793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA A143165)
Enumeration Date
2014-04-23
Last Update Date
2022-03-29
Business Address
CRYSTAL NICOLE PRUITT
11370 ANDERSON ST STE 3900
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2806
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Mailing Address
CRYSTAL NICOLE PRUITT
11370 ANDERSON ST STE 3900
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2806
Copy
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