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1033881669
DANE K PETERSEN
OXNARD, CA
NPI
1033881669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95019314)
Enumeration Date
2021-10-01
Last Update Date
2021-12-16
Business Address
DANE K PETERSEN NP
2901 N VENTURA RD STE 120
OXNARD, CA 93036-1126
Phone number: 805-485-7877
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Mailing Address
DANE K PETERSEN NP
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number:
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