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1710675566
PETAGAY P. FAIRCLOUGH
POUGHKEEPSIE, NY
NPI
1710675566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F351722-01)
Enumeration Date
2023-04-28
Last Update Date
2023-04-28
Business Address
PETAGAY P. FAIRCLOUGH
45 READE PL
POUGHKEEPSIE, NY 12601-3947
Phone number: 845-454-8500
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Mailing Address
PETAGAY P. FAIRCLOUGH
72 LENT ST
POUGHKEEPSIE, NY 12601-2728
Phone number: 845-240-4987
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