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1376043174
TINA MARIE PETTWAY
HUNTSVILLE, AL
NPI
1376043174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-065334)
Enumeration Date
2018-02-19
Last Update Date
2018-02-19
Business Address
TINA MARIE PETTWAY LPN
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802-4364
Phone number: 256-533-1970
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Mailing Address
TINA MARIE PETTWAY LPN
237 AMBER LN
HARVEST, AL 35749-9339
Phone number: 256-337-7747
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