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1134577315
REGINA PETILL
DELRAY BEACH, FL
NPI
1134577315
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Former Name
REGINA PETILL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL 5439)
Enumeration Date
2016-05-30
Last Update Date
2016-05-30
Business Address
-- REGINA PETILL
16244 S MILITARY TRL STE 110
DELRAY BEACH, FL 33484-6505
Phone number: 561-865-2550
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Mailing Address
-- REGINA PETILL
16244 S MILITARY TRL STE 110
DELRAY BEACH, FL 33484-6505
Phone number: 561-865-2550
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