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1649939547
KELLY PETTIS
COLUMBUS, GA
NPI
1649939547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
KELLY PETTIS
22 ARTILLERY DR
COLUMBUS, GA 31903-4123
Phone number: 706-840-9979
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Mailing Address
KELLY PETTIS
22 ARTILLERY DR
COLUMBUS, GA 31903-4123
Phone number: 706-840-9979
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