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1124756218
STEPHANIE L PETTIS
SIERRA VISTA, AZ
NPI
1124756218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ 278553)
Enumeration Date
2022-08-08
Last Update Date
2024-05-30
Business Address
MS. STEPHANIE L PETTIS AGPC-NP
286 S LENZNER AVE
SIERRA VISTA, AZ 85635-5685
Phone number: 520-452-0388
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Mailing Address
MS. STEPHANIE L PETTIS AGPC-NP
286 S LENZNER AVE
SIERRA VISTA, AZ 85635-5685
Phone number: 500-452-0388
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