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1851076038
DEREK JOHN PETTRY
ASHFORD, WV
NPI
1851076038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2023-06-16
Last Update Date
2023-06-16
Business Address
DEREK JOHN PETTRY
42 PARRISH LN
ASHFORD, WV 25009-9091
Phone number: 304-836-5505
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Mailing Address
DEREK JOHN PETTRY
42 PARRISH LN
ASHFORD, WV 25009-9091
Phone number: 304-836-5505
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