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1134243355
CHARLES MARK PETERSON
SEATTLE, WA
NPI
1134243355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: WA RN00082324)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- CHARLES MARK PETERSON R.N.
830 14TH AVE
SEATTLE, WA 98122-4508
Phone number: 206-329-1186
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Mailing Address
-- CHARLES MARK PETERSON R.N.
830 14TH AVE
SEATTLE, WA 98122-4508
Phone number: 206-329-1186
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