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1245220086
RON PETERSON
LA JUNTA, CO
NPI
1245220086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CO 55424)
Enumeration Date
2005-10-24
Last Update Date
2007-07-08
Business Address
RON PETERSON FNP
1100 CARSON AVE SUITE 201
LA JUNTA, CO 81050-2751
Phone number: 719-383-5900
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Mailing Address
RON PETERSON FNP
1100 CARSON AVE SUITE 201
LA JUNTA, CO 81050-2751
Phone number: 719-383-5900
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