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1134809759
CARMEN PETSCH
CHEYENNE, WY
NPI
1134809759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: WY 52688)
Enumeration Date
2023-07-19
Last Update Date
2024-02-02
Business Address
CARMEN PETSCH AGACNP-BC
2301 HOUSE AVE
CHEYENNE, WY 82001-3176
Phone number: 307-634-2273
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Mailing Address
CARMEN PETSCH AGACNP-BC
6419 S 108TH AVE
OMAHA, NE 68137-4732
Phone number: 402-216-8360
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