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Individual

CARLIE DAWN PETTIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
4220 A ST SE STE 103, AUBURN, WA 98002-8620
(253) 833-4800
(253) 833-4800
Mailing address
3519 S 126TH ST, TUKWILA, WA 98168-2537
(206) 241-7226

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60769575
WA

Other

Enumeration date
07/05/2017
Last updated
07/05/2017
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