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1619211463
IRINA SERGEEVNA PETTY
NEWARK, OH
NPI
1619211463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 003613)
Enumeration Date
2012-11-17
Last Update Date
2021-04-02
Business Address
IRINA SERGEEVNA PETTY PA
2000 TAMARACK RD
NEWARK, OH 43055
Phone number: 220-564-4650
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Mailing Address
IRINA SERGEEVNA PETTY PA
2000 TAMARACK RD
NEWARK, OH 43055
Phone number: 220-564-4650
Copy
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