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1396371100
AMANDA MAE PETERSON
FORT CAMPBELL, KY
NPI
1396371100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: TN 26738)
Enumeration Date
2020-03-13
Last Update Date
2021-12-08
Business Address
AMANDA MAE PETERSON CNM, WHNP-BC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8148
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Mailing Address
AMANDA MAE PETERSON CNM, WHNP-BC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8148
Copy
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