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1154703742
JOSEPH HARLEY PETTITT
KANSAS CITY, MO
NPI
1154703742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-06-19
Last Update Date
2015-06-19
Business Address
Mr. JOSEPH HARLEY PETTITT ATC
8880 NE 82ND TER
KANSAS CITY, MO 64158-1313
Phone number: 816-437-8122
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Mailing Address
Mr. JOSEPH HARLEY PETTITT ATC
8200 DEXTER CREEK LN UNIT 203
CORDOVA, TN 38016-2066
Phone number:
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