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1780307140
SHANIECE PETTIGREW
CHARLESTON, WV
NPI
1780307140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
SHANIECE PETTIGREW
20 BROOKS ST
CHARLESTON, WV 25301-2903
Phone number: 304-766-9669
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Mailing Address
SHANIECE PETTIGREW
PO BOX 11092
CHARLESTON, WV 25339-1092
Phone number: 304-766-9669
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