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1790529386
BRIDGET L PETTYJOHN
CHARLOTTE, NC
NPI
1790529386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
BRIDGET L PETTYJOHN
6120 BROOKSHIRE BLVD STE W
CHARLOTTE, NC 28216-3300
Phone number: 704-320-1463
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Mailing Address
BRIDGET L PETTYJOHN
3821 PORT RICHMOND AVE
GASTONIA, NC 28056-6238
Phone number: 704-320-1463
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