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1205574316
REBECCA SUSAN PETTIBONE
ELMIRA, NY
NPI
1205574316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 310746)
Enumeration Date
2022-05-27
Last Update Date
2022-05-27
Business Address
REBECCA SUSAN PETTIBONE NP
555 SAINT JOSEPHS BLVD STE M2
ELMIRA, NY 14901-3223
Phone number: 607-734-7121
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Mailing Address
REBECCA SUSAN PETTIBONE NP
571 SAINT JOSEPHS BLVD FL 2
ELMIRA, NY 14901-3230
Phone number: 607-271-2050
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