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1750148748
ALEXANDRA LAUREN PETTUS
SAN BERNARDINO, CA
NPI
1750148748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95028213)
Enumeration Date
2024-03-05
Last Update Date
2024-03-05
Business Address
ALEXANDRA LAUREN PETTUS Nurse practitioner
1800 WESTERN AVE STE 204
SAN BERNARDINO, CA 92411-1353
Phone number: 909-474-9952
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Mailing Address
ALEXANDRA LAUREN PETTUS Nurse practitioner
945 S RIDGECREST CIR
ANAHEIM, CA 92807-4502
Phone number: 256-620-1972
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