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1346246634
PHYLLIS ROSE PETERSON
LUBBOCK, TX
NPI
1346246634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX pa01015)
Enumeration Date
2005-06-22
Last Update Date
2015-05-19
Business Address
-- PHYLLIS ROSE PETERSON pa
TTUHSC DEPT OF PSYCHIATRY 3601 4TH ST., MS 8103
LUBBOCK, TX 79430-8103
Phone number: 806-743-2800
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Mailing Address
-- PHYLLIS ROSE PETERSON pa
TTUHSC DEPT OF PSYCHIATRY 3601 4TH ST.
LUBBOCK, TX 79430-8103
Phone number: 806-781-6069
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