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1407114119
NICOLE LYNN PETRUSIK
PITTSBURGH, PA
NPI
1407114119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0855X Clinic/Center, Adolescent and Children Mental Health
Enumeration Date
2012-05-01
Last Update Date
2012-05-01
Business Address
-- NICOLE LYNN PETRUSIK B.S.
5231 PENN AVE
PITTSBURGH, PA 15224-1768
Phone number: 412-518-7544
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Mailing Address
-- NICOLE LYNN PETRUSIK B.S.
430 SARVER RD
SARVER, PA 16055-9502
Phone number: 724-256-0798
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