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1710221239
ETTA MARIE PRUITT
ASHEBORO, NC
NPI
1710221239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 1513)
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
Ms. ETTA MARIE PRUITT COTA/L
400 VISION DR
ASHEBORO, NC 27203-3855
Phone number: 336-672-5450
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Mailing Address
Ms. ETTA MARIE PRUITT COTA/L
400 VISION DR
ASHEBORO, NC 27203-3855
Phone number: 336-672-5450
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