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Individual
MS. PEGGY SUE TRYONOVIECH
Active
Individual
MS. PEGGY SUE TRYONOVIECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
269761
NY
164W00000X
Licensed Practical Nurse
29956
CT
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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