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1710409610
SHONTE'E ELAINE PETTUS
VAN NUYS, CA
NPI
1710409610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-07-12
Last Update Date
2017-07-12
Business Address
SHONTE'E ELAINE PETTUS
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 818-901-4836
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Mailing Address
SHONTE'E ELAINE PETTUS
44200 KINGTREE AVE UNIT 2
LANCASTER, CA 93534-4115
Phone number: 661-208-5444
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