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1245787159
LUCAS PETTIT
CICERO, NY
NPI
1245787159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2016-09-08
Last Update Date
2019-12-03
Business Address
LUCAS PETTIT
8003 BREWERTON RD
CICERO, NY 13039-9528
Phone number: 315-288-4006
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Mailing Address
LUCAS PETTIT
3292 BLACK ST
SCIPIO CENTER, NY 13147-3172
Phone number: 315-406-6385
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