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1063870806
LAURA PETERSEN
SAN JOSE, CA
NPI
1063870806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
-- LAURA PETERSEN
1080 N 7TH ST
SAN JOSE, CA 95112-4425
Phone number: 610-869-9160
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Mailing Address
-- LAURA PETERSEN
3200 ZANKER RD APARTMENT 1344
SAN JOSE, CA 95134-1943
Phone number: 267-337-2197
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