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1407979313
MARK EDGAR PETTAY
GROVEPORT, OH
NPI
1407979313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OH 1755)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Dr. MARK EDGAR PETTAY D.C.
495 MAIN ST SUITE D
GROVEPORT, OH 43125-1184
Phone number: 614-836-7227
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Mailing Address
Dr. MARK EDGAR PETTAY D.C.
495 MAIN ST SUITE D
GROVEPORT, OH 43125-1184
Phone number: 614-836-7227
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