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1376231787
INGRID PETERSON
NEWPORT NEWS, VA
NPI
1376231787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0704015731)
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
INGRID PETERSON
707 GUM ROCK CT
NEWPORT NEWS, VA 23606-2523
Phone number: 757-873-2273
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Mailing Address
INGRID PETERSON
PO BOX 2546
VIRGINIA BEACH, VA 23450-2546
Phone number: 757-340-3489
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