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1194373217
LOUIS PETTYGROVE
RALEIGH, NC
NPI
1194373217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-09167)
Enumeration Date
2019-09-02
Last Update Date
2021-08-12
Business Address
LOUIS PETTYGROVE PAC
3949 BROWNING PL
RALEIGH, NC 27609-6536
Phone number: 919-787-7411
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Mailing Address
LOUIS PETTYGROVE PAC
3949 BROWNING PL
RALEIGH, NC 27609-6536
Phone number: 919-787-7411
Copy
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