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1861163420
MALAYSIA PETTIS
VICTORVILLE, CA
NPI
1861163420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-09-23
Last Update Date
2024-02-07
Business Address
MALAYSIA PETTIS
15095 AMARGOSA RD STE 201
VICTORVILLE, CA 92394-1875
Phone number: 760-245-4695
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Mailing Address
MALAYSIA PETTIS
15095 AMARGOSA RD STE 201
VICTORVILLE, CA 92394-1875
Phone number: 760-245-4695
Copy
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