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1245829837
ALEXIS VICTORIA PRUITT
ANCHORAGE, AK
NPI
1245829837
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Former Name
ALEXIS VICTORIA MELVIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-18
Last Update Date
2021-01-18
Business Address
ALEXIS VICTORIA PRUITT
4020 FOLKER ST
ANCHORAGE, AK 99508-5321
Phone number: 907-563-1000
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Mailing Address
ALEXIS VICTORIA PRUITT
4020 FOLKER ST
ANCHORAGE, AK 99508-5321
Phone number: 907-563-1000
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