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1972864130
RESHAWNA PETTY
BUFFALO, NY
NPI
1972864130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 309539-1)
Enumeration Date
2012-06-05
Last Update Date
2012-06-05
Business Address
-- RESHAWNA PETTY
15 BRUNSWICK BLVD
BUFFALO, NY 14208-1543
Phone number: 716-931-5868
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Mailing Address
-- RESHAWNA PETTY
15 BRUNSWICK BLVD
BUFFALO, NY 14208-1543
Phone number: 716-931-5868
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