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Individual

AMELIE RHOSHUNDA PRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6465 E MOCKINGBIRD LN STE 344, DALLAS, TX 75214-7018
(469) 577-5491
Mailing address
1900 PACIFIC AVE APT 1706, DALLAS, TX 75201-4964
(469) 577-5491

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT137429
TX

Other

Enumeration date
01/11/2023
Last updated
01/11/2023
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