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1306546411
PETTY DEGAND
PEMBROKE PINES, FL
NPI
1306546411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11025097)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
PETTY DEGAND
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028-1014
Phone number: 954-436-5000
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Mailing Address
PETTY DEGAND
19923 SW 7TH PL
PEMBROKE PINES, FL 33029-1257
Phone number:
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