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1891191516
SHANTEISHA PRUITT
BALTIMORE, MD
NPI
1891191516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD A0000491)
Enumeration Date
2014-11-06
Last Update Date
2014-11-06
Business Address
-- SHANTEISHA PRUITT ATC
1700 E COLD SPRING LN HILL FIELD HOUSE LL119
BALTIMORE, MD 21251-0001
Phone number: 443-885-3486
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Mailing Address
-- SHANTEISHA PRUITT ATC
1700 E COLD SPRING LN HILL FIELD HOUSE LL119
BALTIMORE, MD 21251-0001
Phone number:
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