JESSICA LEA PETTY

JACKSONVILLE, NC
NPI1407113111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-04-19
Last Update Date2012-04-19
Business Address
Mrs. JESSICA LEA PETTY IDC
194 MAREADY RD
JACKSONVILLE, NC 28546-9332
Phone number: 904-240-9350
Mailing Address
Mrs. JESSICA LEA PETTY IDC
PSC BOX 20125 CLR-27 GROUP AID STATION
CAMP LEJEUNE, NC 28542-0125
Phone number: 904-240-3350
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