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1225701303
BREONA PETTEWAY
SYRACUSE, NY
NPI
1225701303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 331074-01)
Enumeration Date
2021-07-26
Last Update Date
2021-08-10
Business Address
BREONA PETTEWAY
206 ERIE ST
SYRACUSE, NY 13204-1608
Phone number: 631-636-1772
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Mailing Address
BREONA PETTEWAY
108 W ELLIS ST
EAST SYRACUSE, NY 13057-2527
Phone number: 631-636-1772
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