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1215979265
LARRY A PETTIT
DALLAS, TX
NPI
1215979265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX K6235)
Enumeration Date
2006-06-12
Last Update Date
2013-06-04
Business Address
-- LARRY A PETTIT DO
8200 WALNUT HILL LN
DALLAS, TX 75231-4426
Phone number: 214-345-6789
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Mailing Address
-- LARRY A PETTIT DO
PO BOX 8549
FORT WORTH, TX 76124-0549
Phone number: 817-451-4208
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