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1548801087
WILLIAM OFFUTT PETTIT
LEXINGTON, KY
NPI
1548801087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
WILLIAM OFFUTT PETTIT
2004 BLAIRMORE RD
LEXINGTON, KY 40502-2435
Phone number: 859-230-9578
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Mailing Address
WILLIAM OFFUTT PETTIT
2004 BLAIRMORE RD
LEXINGTON, KY 40502-2435
Phone number: 859-230-9578
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COMPETITIVE EDGE II, LLC