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1134694250
PATRICIA PETERSON
FORT WAYNE, IN
NPI
1134694250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IN 71008435A)
Enumeration Date
2018-10-04
Last Update Date
2020-10-01
Business Address
Ms. PATRICIA PETERSON NP
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804-4178
Phone number: 290-494-3484
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Mailing Address
Ms. PATRICIA PETERSON NP
7836 W JEFFERSON BLVD STE 101
FORT WAYNE, IN 46804-4178
Phone number: 260-494-3484
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