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1700850682
MICHAEL KENT PETTY
WACO, TX
NPI
1700850682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX J9268)
Enumeration Date
2006-02-15
Last Update Date
2008-05-21
Business Address
Dr. MICHAEL KENT PETTY DO
7300 BOSQUE BLVD
WACO, TX 76710
Phone number: 254-202-2600
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Mailing Address
Dr. MICHAEL KENT PETTY DO
PO BOX 5338
WACO, TX 76708
Phone number: 254-202-4660
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