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1174791115
MARY E PETERSON
AUSTIN, TX
NPI
1174791115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ AP2970)
Enumeration Date
2008-02-12
Last Update Date
2016-12-13
Business Address
-- MARY E PETERSON NP
901 W BEN WHITE BLVD
AUSTIN, TX 78704-6903
Phone number: 512-816-8611
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Mailing Address
-- MARY E PETERSON NP
901 W BEN WHITE BLVD
AUSTIN, TX 78704-6903
Phone number: 512-816-8611
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