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1386900728
SAM RICHARD PETERSEN
HUNTSVILLE, AL
NPI
1386900728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-109909)
Enumeration Date
2012-04-10
Last Update Date
2012-04-10
Business Address
-- SAM RICHARD PETERSEN CRNP
201 SIVLEY RD SW STE 500
HUNTSVILLE, AL 35801-5177
Phone number: 256-265-3881
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Mailing Address
-- SAM RICHARD PETERSEN CRNP
201 SIVLEY RD SW STE 500
HUNTSVILLE, AL 35801-5177
Phone number: 256-265-3881
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