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1366057366
MARIANNE PETTIS
ATLANTA, GA
NPI
1366057366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA 218380)
Enumeration Date
2020-09-15
Last Update Date
2020-09-15
Business Address
MARIANNE PETTIS
2429 MLK JR DR SW
ATLANTA, GA 30311-1713
Phone number: 706-296-5739
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Mailing Address
MARIANNE PETTIS
2429 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30311-1713
Phone number:
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