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1255371530
PAMELA TERESA PETERSON
JACKSON, MI
NPI
1255371530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704194081)
Enumeration Date
2006-06-07
Last Update Date
2007-11-27
Business Address
PAMELA TERESA PETERSON NP
300 W WASHINGTON AVE SUITE 300
JACKSON, MI 49201-2180
Phone number: 517-841-1305
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Mailing Address
PAMELA TERESA PETERSON NP
DEPARTMENT 272801 PO BOX 67000
DETROIT, MI 48267-2728
Phone number: 517-841-6913
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