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1336739572
LISHA M PETTYJOHN
EVANSVILLE, IN
NPI
1336739572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IN 28147476A)
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
LISHA M PETTYJOHN RN
225 CROSSLAKE DR
EVANSVILLE, IN 47715-8198
Phone number: 812-477-1558
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Mailing Address
LISHA M PETTYJOHN RN
225 CROSSLAKE DR
EVANSVILLE, IN 47715-8198
Phone number: 812-477-1558
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