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1568945285
KATHERINE MARCELA PETTYJOHN
MODESTO, CA
NPI
1568945285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
(Licence: CA 95009952)
Enumeration Date
2018-09-09
Last Update Date
2018-09-09
Business Address
Mrs. KATHERINE MARCELA PETTYJOHN FNP-BC
1409 LECOURBE CT
MODESTO, CA 95356-8905
Phone number: 209-409-8239
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Mailing Address
Mrs. KATHERINE MARCELA PETTYJOHN FNP-BC
3880 COLMA AVE
MERCED, CA 95348-8719
Phone number: 209-617-4647
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