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1700147295
CAROL PETTY
EUREKA, CA
NPI
1700147295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA vn217444)
Enumeration Date
2012-05-31
Last Update Date
2012-05-31
Business Address
-- CAROL PETTY LVN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
-- CAROL PETTY LVN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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