Individual
DEBBIE PETTIBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12563 NEW BRITTANY BLVD BLDG 24, FORT MYERS, FL 33907-3625
(239) 481-6138
(239) 481-2547
Mailing address
12563 NEW BRITTANY BLVD BLDG 24, FORT MYERS, FL 33907-3625
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5189384
FL
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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