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1972677367
DERECK PETTIFORD
OCALA, FL
NPI
1972677367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL 3280462)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- DERECK PETTIFORD CRNA
3330 SW 33RD RD
OCALA, FL 34474-7458
Phone number: 352-873-9311
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Mailing Address
-- DERECK PETTIFORD CRNA
8235 SW 72ND PL
GAINESVILLE, FL 32608-8425
Phone number: 352-380-2724
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