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Individual
KIRK PETRIE
Active
Individual
KIRK PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
0117003639
VA
2279H0200X
Home Health Registered Respiratory Therapist
0117003639
VA
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
0117003639
VA
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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