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1659193647
NYLICIA LACY PRUITT
LOS ANGELES, CA
NPI
1659193647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-10-30
Last Update Date
2024-10-30
Business Address
NYLICIA LACY PRUITT
10626 S BUDLONG AVE APT 4
LOS ANGELES, CA 90044-1661
Phone number: 323-970-6703
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Mailing Address
NYLICIA LACY PRUITT
10626 S. BUDLONG AVE APT 4
LOS ANGELES, CA 90044-4321
Phone number: 323-970-6703
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