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1992053037
PRECIOUS A PETTAWAY
NORTH LAS VEGAS, NV
NPI
1992053037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-08-21
Last Update Date
2012-08-21
Business Address
-- PRECIOUS A PETTAWAY
3624 RUSSIAN OLIVE ST
NORTH LAS VEGAS, NV 89032-7643
Phone number: 702-353-1079
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Mailing Address
-- PRECIOUS A PETTAWAY
3624 RUSSIAN OLIVE ST
NORTH LAS VEGAS, NV 89032-7643
Phone number: 702-353-1079
Copy
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