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1710642962
DAMIENNE HUGENA AUGUSTA TABUSO PETOSKY
CRANBERRY TOWNSHIP, PA
NPI
1710642962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
Ms. DAMIENNE HUGENA AUGUSTA TABUSO PETOSKY
301 SMITH DR STE 3
CRANBERRY TOWNSHIP, PA 16066-4131
Phone number: 724-779-2010
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Mailing Address
Ms. DAMIENNE HUGENA AUGUSTA TABUSO PETOSKY
301 SMITH DR STE 3
CRANBERRY TOWNSHIP, PA 16066-4131
Phone number:
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