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1962279034
DA'NAE LYNETT PETTIS
PORTLAND, OR
NPI
1962279034
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Former Name
DANAE LYNETTE PETTIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-12-07
Last Update Date
2023-12-07
Business Address
DA'NAE LYNETT PETTIS
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-249-7767
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Mailing Address
DA'NAE LYNETT PETTIS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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