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1407154883
OLWYN RENITA PRUITT
JONESBORO, AR
NPI
1407154883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2011-03-08
Last Update Date
2017-11-14
Business Address
Ms. OLWYN RENITA PRUITT
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 702-428-2300
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Mailing Address
Ms. OLWYN RENITA PRUITT
1467 PHILLIPS ROAD 241
LEXA, AR 72355-8485
Phone number: 702-428-2300
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