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1720069198
KENNETH A PETTINE
JOHNSTOWN, CO
NPI
1720069198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: CO 29524)
Enumeration Date
2005-11-10
Last Update Date
2015-03-23
Business Address
Dr. KENNETH A PETTINE M.D.
4795 LARIMER PARKWAY
JOHNSTOWN, CO 80534
Phone number: 970-669-8881
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Mailing Address
Dr. KENNETH A PETTINE M.D.
4795 LARIMER PARKWAY
JOHNSTOWN, CO 80534
Phone number: 970-669-8881
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