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1972147965
CHIFFON PRUITT
SAN LEANDRO, CA
NPI
1972147965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-11-01
Last Update Date
2019-11-01
Business Address
CHIFFON PRUITT
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
CHIFFON PRUITT
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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