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1508582396
KHADIJAH PRUITT
DETROIT, MI
NPI
1508582396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704315058)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
KHADIJAH PRUITT
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
KHADIJAH PRUITT
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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