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1770904682
LIDIA PETTIS
LAS VEGAS, NV
NPI
1770904682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
-- LIDIA PETTIS
1760 N DECATUR BLVD 79
LAS VEGAS, NV 89108-2208
Phone number: 702-810-9742
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Mailing Address
-- LIDIA PETTIS
1760 N DECATUR BLVD 79
LAS VEGAS, NV 89108-2208
Phone number: 702-810-9742
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