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1679761159
BOBBY J PETTIT
GLENDALE, AZ
NPI
1679761159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: AZ 644)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
-- BOBBY J PETTIT
5830 W THUNDERBIRD RD STE B5
GLENDALE, AZ 85306-4655
Phone number: 602-841-7886
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Mailing Address
-- BOBBY J PETTIT
5830 W THUNDERBIRD RD STE B5
GLENDALE, AZ 85306-4655
Phone number: 602-841-7886
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