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Deeozja Pruitt

NPI Registration Record

Provider / OrganizationNPIDate Certified
DEEOZJA PRUITT19822088312020-11-22
Entity TypeIndividual
Provider Name Deeozja Pruitt
Practice Office Address3757 WESTMONT DR APT 12
CINCINNATI, OH US
Practice Office Telephone5132912702
Mailing Address3757 WESTMONT DR APT 12
CINCINNATI, OH 452051240 US
Business Telephone5132912702
HPT Codes
CodeLicense NoState
374U00000X PRIMARY
OPI Codes

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