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1104484179
MICHELLE A PETAK
NILES, OH
NPI
1104484179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-04
Last Update Date
2024-10-04
Business Address
MICHELLE A PETAK
165 E PARK AVE
NILES, OH 44446-2352
Phone number: 330-544-8005
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Mailing Address
MICHELLE A PETAK
1707 ROBERTS LN NE
WARREN, OH 44483-3621
Phone number: 330-360-0259
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