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1346675949
TOSHA PETTIT
MARTIN, TN
NPI
1346675949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 71200)
Enumeration Date
2013-09-13
Last Update Date
2013-09-13
Business Address
TOSHA PETTIT L.P.N
457 HANNINGS LN
MARTIN, TN 38237-3307
Phone number: 731-587-3854
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Mailing Address
TOSHA PETTIT L.P.N
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-7971
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