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1033610043
MARTHA ALICE PETTY
SAN DIEGO, CA
NPI
1033610043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA RN95147003)
Enumeration Date
2018-02-24
Last Update Date
2018-02-24
Business Address
MARTHA ALICE PETTY RN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
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Mailing Address
MARTHA ALICE PETTY RN
4955 CYPRESS HAMMOCK DR
SAINT CLOUD, FL 34771-8920
Phone number: 317-809-9429
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