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1205202207
TAMIKA SHAWNTRICE PETTY
BUFFALO, NY
NPI
1205202207
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Former Name
TAMIKA SHAWNTRICE NEWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 280729)
Enumeration Date
2015-08-13
Last Update Date
2015-08-13
Business Address
MRS. TAMIKA SHAWNTRICE PETTY LPN
189 BRUNSWICK BLVD 2
BUFFALO, NY 14208-1622
Phone number: 716-247-1481
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Mailing Address
MRS. TAMIKA SHAWNTRICE PETTY LPN
189 BRUNSWICK BLVD 2
BUFFALO, NY 14208-1622
Phone number: 716-247-1481
Copy
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