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1184989741
SHANNON SHANTILL PETTAWAY
TOLEDO, OH
NPI
1184989741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN144565MIV)
Enumeration Date
2012-07-10
Last Update Date
2012-07-10
Business Address
-- SHANNON SHANTILL PETTAWAY LPN
1156 CORBIN RD
TOLEDO, OH 43612-2321
Phone number: 419-469-2719
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Mailing Address
-- SHANNON SHANTILL PETTAWAY LPN
1156 CORBIN RD
TOLEDO, OH 43612-2321
Phone number: 419-469-2719
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