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1912309642
SHALITA PETTWAY
PORT ST LUCIE, FL
NPI
1912309642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
-- SHALITA PETTWAY
7229 PINE LAKES BLVD
PORT ST LUCIE, FL 34952
Phone number: 772-214-6911
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Mailing Address
-- SHALITA PETTWAY
PO BOX 8532
HOBE SOUND, FL 33455
Phone number: 772-214-6911
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