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1922061191
SAMUEL R. PETTIS
SEATTLE, WA
NPI
1922061191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: WA MD00017597)
Enumeration Date
2006-04-10
Last Update Date
2007-11-26
Business Address
-- SAMUEL R. PETTIS M.D.
742B BOYLSTON AVE E
SEATTLE, WA 98102-4619
Phone number: 000-000-0000
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Mailing Address
-- SAMUEL R. PETTIS M.D.
742B BOYLSTON AVE E
SEATTLE, WA 98102-4619
Phone number:
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