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1427719590
BENJAMIN PETERSON
CHARLOTTE, NC
NPI
1427719590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 138152)
Enumeration Date
2021-12-31
Last Update Date
2021-12-31
Business Address
BENJAMIN PETERSON
8800 N TRYON ST
CHARLOTTE, NC 28262-3300
Phone number: 704-863-6000
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Mailing Address
BENJAMIN PETERSON
7705 STONEHAVEN DR
WAXHAW, NC 28173-7334
Phone number: 704-488-5117
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