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1144692237
AMANDA PETTUS
PASADENA, CA
NPI
1144692237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA 53292)
Enumeration Date
2015-10-28
Last Update Date
2016-03-19
Business Address
-- AMANDA PETTUS PA-C
836 S ARROYO PKWY
PASADENA, CA 91105-3212
Phone number: 650-773-8498
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Mailing Address
-- AMANDA PETTUS PA-C
20425 SORRENTO LN APT 101
PORTER RANCH, CA 91326-4582
Phone number: 650-773-8498
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