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Individual

WILLIAM C PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
351 W SWANSON AVE, SUITE 4, WASILLA, AK 99654-6853
(907) 376-5228
(907) 376-8126
Mailing address
351 W SWANSON AVE, SUITE 4, WASILLA, AK 99654-6853
(907) 376-5228
(907) 376-8126

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
493
AK

Other

Enumeration date
07/12/2013
Last updated
07/12/2013
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