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1326638958
BETH SUZANNE PETTIS
SAN DIEGO, CA
NPI
1326638958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA 95016003)
Enumeration Date
2021-01-18
Last Update Date
2021-11-24
Business Address
BETH SUZANNE PETTIS PMHNP
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
BETH SUZANNE PETTIS PMHNP
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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