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1336788264
LAURA MAE PETERSEN
EUGENE, OR
NPI
1336788264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201910614LPN)
Enumeration Date
2019-12-23
Last Update Date
2019-12-23
Business Address
LAURA MAE PETERSEN LPN
151 W 7TH AVE STE 100
EUGENE, OR 97401-2676
Phone number: 541-682-2676
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Mailing Address
LAURA MAE PETERSEN LPN
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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