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1316340623
TRISTIN DELRAE PRUITT
SANDUSKY, OH
NPI
1316340623
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Former Name
TRISTIN DELRAE TUCKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 400776580708)
Enumeration Date
2014-09-30
Last Update Date
2014-09-30
Business Address
-- TRISTIN DELRAE PRUITT STNA
110 RANDALL DR
SANDUSKY, OH 44870-5774
Phone number: 419-504-9624
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Mailing Address
-- TRISTIN DELRAE PRUITT STNA
110 RANDALL DR
SANDUSKY, OH 44870-5774
Phone number:
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