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1285802017
CAROLYN PETERSON
FT. RUCKER, AL
NPI
1285802017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-033900)
Enumeration Date
2008-02-14
Last Update Date
2008-02-14
Business Address
CAROLYN PETERSON
301 ANDREWS AVE
FT. RUCKER, AL 36362
Phone number: 334-255-7883
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Mailing Address
CAROLYN PETERSON
301 ANDREWS AVE
FT. RUCKER, AL 36362
Phone number:
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