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1609299346
EBONY PETRUS
BRONX, NY
NPI
1609299346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 316986)
Enumeration Date
2014-01-31
Last Update Date
2014-01-31
Business Address
-- EBONY PETRUS
1140 COLGATE AVE 3C
BRONX, NY 10472-3172
Phone number: 917-971-1611
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Mailing Address
-- EBONY PETRUS
1140 COLGATE AVE 3C
BRONX, NY 10472-3172
Phone number: 917-971-1611
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