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Individual

AARON ZANE PETTREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005489001
WV
Enumeration date
07/31/2020
Last updated
07/31/2020
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