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1124649157
DESIRAE PETTIT
TERRYVILLE, CT
NPI
1124649157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: CT NA91285300)
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
DESIRAE PETTIT
33 BEACH AVE
TERRYVILLE, CT 06786-6317
Phone number: 203-592-4593
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Mailing Address
DESIRAE PETTIT
33 BEACH AVE
TERRYVILLE, CT 06786-6317
Phone number:
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