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1104861160
GLENN G PETTY
TEXARKANA, TX
NPI
1104861160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: AR 180)
Enumeration Date
2006-06-16
Last Update Date
2008-08-05
Business Address
DR. GLENN G PETTY D.P.M.
5510 SUMMERHILL RD
TEXARKANA, TX 75503-1822
Phone number: 903-792-2710
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Mailing Address
DR. GLENN G PETTY D.P.M.
PO BOX 6579
TEXARKANA, TX 75505-6579
Phone number: 870-863-7080
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