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1932318797
JOHN LEE PETTRY
KINGS BAY, GA
NPI
1932318797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-21
Last Update Date
2010-10-08
Business Address
-- JOHN LEE PETTRY IDC
881 USS JAMES MADISON ROAD BRANCH HEALTH CLINIC KINGS BAY
KINGS BAY, GA 31547-2531
Phone number: 912-573-2938
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Mailing Address
-- JOHN LEE PETTRY IDC
881 USS JAMES MADISON ROAD BRANCH HEALTH CLINIC KINGS BAY
KINGS BAY, GA 31547-2531
Phone number: 912-573-2938
Copy
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