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1083965651
SHALENA PETERSON
PRESCOTT, AZ
NPI
1083965651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 8594)
Enumeration Date
2012-09-24
Last Update Date
2024-12-03
Business Address
SHALENA PETERSON PA-C
3120 CLEARWATER DR
PRESCOTT, AZ 86305-7131
Phone number: 928-771-3704
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Mailing Address
SHALENA PETERSON PA-C
PO BOX 10880
PRESCOTT, AZ 86304-0880
Phone number: 602-406-4786
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