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1073753240
STEPHANIE PETERSON
HOUSTON, TX
NPI
1073753240
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Former Name
STEPHANIE BOUDREAUX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 667893)
Enumeration Date
2009-03-02
Last Update Date
2009-03-02
Business Address
-- STEPHANIE PETERSON
716 WAVERLY ST UNIT B
HOUSTON, TX 77007-1407
Phone number: 832-533-2354
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Mailing Address
-- STEPHANIE PETERSON
716 WAVERLY STREET UNIT B
HOUSTON, TX 77007
Phone number: 832-533-2354
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