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1245709781
TAMMY LATRECE PRUITT
HOMEWOOD, IL
NPI
1245709781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Additional Taxonomies
374U00000X Home Health Aide
376J00000X Homemaker
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
TAMMY LATRECE PRUITT
2730 CHAYES CT APT E
HOMEWOOD, IL 60430-2924
Phone number: 708-545-7223
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Mailing Address
TAMMY LATRECE PRUITT
2730 CHAYES CT APT E
HOMEWOOD, IL 60430-2924
Phone number: 708-545-7223
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