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1568969269
ALICE SALLY PRUITT
ONTARIO, CA
NPI
1568969269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13736-R)
Enumeration Date
2018-04-09
Last Update Date
2022-05-10
Business Address
Mrs. ALICE SALLY PRUITT
125 W F ST
ONTARIO, CA 91762-3201
Phone number: 909-986-4550
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Mailing Address
Mrs. ALICE SALLY PRUITT
2743 ORANGE ST
RIVERSIDE, CA 92501-2503
Phone number:
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