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1326777244
KENDERRICKA PRUITT
TALLAHASSEE, FL
NPI
1326777244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2022-06-07
Last Update Date
2022-06-17
Business Address
KENDERRICKA PRUITT
135 WHITE DR APT M3
TALLAHASSEE, FL 32304-3062
Phone number: 850-570-0460
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Mailing Address
KENDERRICKA PRUITT
135 WHITE DR APT M3
TALLAHASSEE, FL 32304-3062
Phone number:
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