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1700235884
JOSEPH PETTY
SAN PEDRO, CA
NPI
1700235884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-08
Last Update Date
2016-06-08
Business Address
-- JOSEPH PETTY
599 W 9TH ST
SAN PEDRO, CA 90731-3105
Phone number: 310-831-0331
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Mailing Address
-- JOSEPH PETTY
599 W 9TH ST
SAN PEDRO, CA 90731-3105
Phone number: 310-831-0331
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