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1518914506
SUSAN L. PETRY
RALEIGH, NC
NPI
1518914506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 100908)
Enumeration Date
2006-05-27
Last Update Date
2012-02-23
Business Address
SUSAN L. PETRY PA
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 919-784-3100
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Mailing Address
SUSAN L. PETRY PA
2501 BLUE RIDGE RD STE 250
RALEIGH, NC 27607-6346
Phone number: 919-863-4128
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