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Kelly Pettigrew, OPTICIAN LICENSE FL

NPI 1164917373 · on the registry since 2018

Practice

Address
505 North Mundo
Dulce, NM 87528
Phone
(575) 759-3291

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico