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1497588263
KRISANDERA ROSE PETTRY
MULLENS, WV
NPI
1497588263
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Former Name
KRISANDERA ROSE COLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
MRS. KRISANDERA ROSE PETTRY
695 MOUNTAINEER HWY
MULLENS, WV 25882-0255
Phone number: 304-294-8800
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Mailing Address
MRS. KRISANDERA ROSE PETTRY
695 MOUNTAINEER HWY
MULLENS, WV 25882-0255
Phone number: 304-294-8800
Copy
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