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1962994509
DAVINA PETTAWAY
TOLEDO, OH
NPI
1962994509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH 140856)
Enumeration Date
2018-05-30
Last Update Date
2019-01-13
Business Address
DAVINA PETTAWAY MS,LCDCIII
624 MAIN ST
TOLEDO, OH 43605-1777
Phone number: 419-720-6811
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Mailing Address
DAVINA PETTAWAY MS,LCDCIII
1101 BROER AVE
TOLEDO, OH 43607-3017
Phone number: 419-932-5482
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