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1457934796
SCOTT S PETERSON
GALLUP, NM
NPI
1457934796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse Emergency
(Licence: NY 551523)
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
MR. SCOTT S PETERSON RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1165
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Mailing Address
MR. SCOTT S PETERSON RN
419 RAKOV RD
MAYBROOK, NY 12543-1157
Phone number: 845-421-7475
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