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1902377468
LEVI DAVID PRUITT
WYNNE, AR
NPI
1902377468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-12-10
Last Update Date
2018-12-10
Business Address
LEVI DAVID PRUITT
661 ADDISON DR
WYNNE, AR 72396-1602
Phone number: 870-238-1135
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Mailing Address
LEVI DAVID PRUITT
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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