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1114069002
THERESA JEAN PETTAS
SALINAS, CA
NPI
1114069002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP11600)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
Mrs. THERESA JEAN PETTAS SLP
919 N MAIN ST
SALINAS, CA 93906-3912
Phone number: 831-754-0833
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Mailing Address
Mrs. THERESA JEAN PETTAS SLP
3094 STEWART CT
MARINA, CA 93933-4744
Phone number: 831-384-1475
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