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1225276124
KELLI ANN PETERSON
PENDLETON, OR
NPI
1225276124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 200843278RN)
Enumeration Date
2009-01-30
Last Update Date
2009-01-30
Business Address
-- KELLI ANN PETERSON RN
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Phone number: 541-966-9830
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Mailing Address
-- KELLI ANN PETERSON RN
1011 SW 30TH
PENDLETON, OR 97801
Phone number: 541-310-9100
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