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1124322185
WILLIAM D PETOK, PHD, PA
SEVERNA PARK, MD
NPI
1124322185
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Entity Type
Organization
Authorized Contact
WILLIAM DAVID PETOK
President
410-647-9166
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2011-01-06
Last Update Date
2011-01-06
Business Address
WILLIAM D PETOK, PHD, PA
479 JUMPERS HOLE RD SUITE 304B
SEVERNA PARK, MD 21146-1600
Phone number: 410-647-9166
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Mailing Address
WILLIAM D PETOK, PHD, PA
479 JUMPERS HOLE RD SUITE 304B
SEVERNA PARK, MD 21146-1600
Phone number: 410-647-9166
Copy
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