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1447962014
GINA DOMBALIS PRUITT
WINSTON SALEM, NC
NPI
1447962014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 5526)
Enumeration Date
2022-12-15
Last Update Date
2022-12-15
Business Address
GINA DOMBALIS PRUITT MA, CCC-SLP
185 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1521
Phone number: 336-725-0222
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Mailing Address
GINA DOMBALIS PRUITT MA, CCC-SLP
1453 BEAVERTON TRL
WINSTON SALEM, NC 27103-5270
Phone number: 336-575-6637
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