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1184744252
LALANNIE MICHELE PETTWAY
VAN NUYS, CA
NPI
1184744252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
LALANNIE MICHELE PETTWAY
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-267-2659
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Mailing Address
LALANNIE MICHELE PETTWAY
17430 MARTHA ST
ENCINO, CA 91316-1323
Phone number: 818-357-1247
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