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1750771473
JASON R PETTIT
DENISON, TX
NPI
1750771473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
251S00000X
Enumeration Date
2015-02-02
Last Update Date
2015-02-02
Business Address
-- JASON R PETTIT LCDC, LPO
1739 W PARNELL ST
DENISON, TX 75020-1123
Phone number: 903-816-2405
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Mailing Address
-- JASON R PETTIT LCDC, LPO
1739 W PARNELL ST
DENISON, TX 75020-1123
Phone number: 903-816-2405
Copy
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