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1487739603
JEFFREY ROBERT PETRA
OLYMPIA, WA
NPI
1487739603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- JEFFREY ROBERT PETRA Ph.D.
1800 COOPER POINT RD SW STE 17
OLYMPIA, WA 98502-1179
Phone number: 360-754-4662
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Mailing Address
-- JEFFREY ROBERT PETRA Ph.D.
PO BOX 11009
OLYMPIA, WA 98508-1009
Phone number: 360-352-2037
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