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1841905635
EMILY PETTIS
COSTA MESA, CA
NPI
1841905635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95023403)
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
EMILY PETTIS APRN
437 16TH PL
COSTA MESA, CA 92627-3211
Phone number: 949-300-9704
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Mailing Address
EMILY PETTIS APRN
437 16TH PL
COSTA MESA, CA 92627-3211
Phone number: 949-300-9704
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