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Individual

MRS. NANCY PETIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5610 SW WICHITA ST, TUALATIN, OR 97062-8790
(503) 313-9444
Mailing address
5610 SW WICHITA ST, TUALATIN, OR 97062-8790
(503) 313-9444

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
06/28/2016
Last updated
06/28/2016
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