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1386663805
DENISE K PETERSEN
LOMA LINDA, CA
NPI
1386663805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP12031)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- DENISE K PETERSEN N.P.
11234 ANDERSON ST #1617
LOMA LINDA, CA 92354-2804
Phone number: 909-558-8591
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Mailing Address
-- DENISE K PETERSEN N.P.
PO BOX 10427
SAN BERNARDINO, CA 92423-0427
Phone number: 909-558-8591
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