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1629623053
KELLUS RAY PRUITT
ARLINGTON, TX
NPI
1629623053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: TX 13874)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
KELLUS RAY PRUITT
808 VALLEY OAKS CT
ARLINGTON, TX 76012-2864
Phone number: 817-691-6954
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Mailing Address
KELLUS RAY PRUITT
808 VALLEY OAKS CT
ARLINGTON, TX 76012-2864
Phone number: 817-691-6954
Copy
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