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1003169053
NEIL PETERSON
CHARLOTTESVILLE, VA
NPI
1003169053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024169615)
Enumeration Date
2012-10-16
Last Update Date
2012-10-16
Business Address
-- NEIL PETERSON
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-243-0075
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Mailing Address
-- NEIL PETERSON
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number:
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