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1114630043
LAURA PETERSON
RICHMOND, TX
NPI
1114630043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1042715)
Enumeration Date
2023-01-05
Last Update Date
2023-01-05
Business Address
Ms. LAURA PETERSON PMHNP
17254 QUIET SONG CT
RICHMOND, TX 77407-2964
Phone number: 856-655-2336
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Mailing Address
Ms. LAURA PETERSON PMHNP
17254 QUIET SONG CT
RICHMOND, TX 77407-2964
Phone number: 856-655-2336
Copy
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