# MARY PETTY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962348540
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347C00000X | Private Vehicle | — | OH | — |
| 376J00000X | Homemaker | — | OH | Yes |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 04/27/2026
