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1770367187
JA'VIUS PRUITT
BIRMINGHAM, AL
NPI
1770367187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: AL PX3Y2J5W5)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
JA'VIUS PRUITT
1921 15TH ST SW
BIRMINGHAM, AL 35211-5028
Phone number: 205-565-9139
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Mailing Address
JA'VIUS PRUITT
1921 15TH ST SW
BIRMINGHAM, AL 35211-5028
Phone number: 205-565-9139
Copy
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