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1982458659
DANA PETTAWAY
TEHACHAPI, CA
NPI
1982458659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-17
Last Update Date
2024-07-22
Business Address
DANA PETTAWAY
410 W J ST STE A
TEHACHAPI, CA 93561-1411
Phone number: 661-750-0438
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Mailing Address
DANA PETTAWAY
321 CASSIDY ST
OCEANSIDE, CA 92054-5314
Phone number: 760-721-2171
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