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1639922727
SHANIA PETTICORD
DETROIT, MI
NPI
1639922727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
SHANIA PETTICORD
14944 FAIRMOUNT DR
DETROIT, MI 48205-1319
Phone number: 248-525-3316
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Mailing Address
SHANIA PETTICORD
14944 FAIRMOUNT DR
DETROIT, MI 48205-1319
Phone number: 248-525-3316
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