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1356038905
DENISHA L PETTWAY
NEW HAVEN, CT
NPI
1356038905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CT 11964)
Enumeration Date
2023-04-21
Last Update Date
2023-06-15
Business Address
Ms. DENISHA L PETTWAY
397 EASTERN ST APT B
NEW HAVEN, CT 06513-2369
Phone number: 203-843-1059
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Mailing Address
Ms. DENISHA L PETTWAY
397 EASTERN ST APT B
NEW HAVEN, CT 06513-2369
Phone number: 203-843-1059
Copy
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