SHANNON SHANTILL PETTAWAY

TOLEDO, OH
NPI1184989741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN144565MIV)
Enumeration Date2012-07-10
Last Update Date2012-07-10
Business Address
SHANNON SHANTILL PETTAWAY LPN
1156 CORBIN RD
TOLEDO, OH 43612-2321
Phone number: 419-469-2719
Mailing Address
SHANNON SHANTILL PETTAWAY LPN
1156 CORBIN RD
TOLEDO, OH 43612-2321
Phone number: 419-469-2719
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