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Individual

BARBARA PETTEWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3600 NW 43RD ST, SUITE E3, GAINESVILLE, FL 32606-8137
(352) 378-5400
Mailing address
3600 NW 43RD ST, SUITE E3, GAINESVILLE, FL 32606-8137

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA54254
FL

Other

Enumeration date
04/14/2015
Last updated
04/14/2015
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