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1104545490
TIMOTHY WILLIAM PETTETT
SAN JOSE, CA
NPI
1104545490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-08-22
Last Update Date
2024-10-20
Business Address
TIMOTHY WILLIAM PETTETT SUDRC #16547
298 BERNAL RD
SAN JOSE, CA 95119-1809
Phone number: 510-337-7950
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Mailing Address
TIMOTHY WILLIAM PETTETT SUDRC #16547
298 BERNAL RD
SAN JOSE, CA 95119-1809
Phone number: 341-348-3969
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