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1164981726
AMY JANELLE PETERSEN
MODESTO, CA
NPI
1164981726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 17191)
Enumeration Date
2019-03-13
Last Update Date
2020-04-10
Business Address
AMY JANELLE PETERSEN NP
3509 COFFEE RD STE D3
MODESTO, CA 95355-1357
Phone number: 209-338-3000
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Mailing Address
AMY JANELLE PETERSEN NP
3509 COFFEE RD STE D3
MODESTO, CA 95355-1357
Phone number:
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