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1477555886
KELLEY ANN PETERSON
WEST DES MOINES, IA
NPI
1477555886
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Former Name
KELLEY ANN FAUSHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 01571)
Enumeration Date
2005-08-15
Last Update Date
2007-07-08
Business Address
KELLEY ANN PETERSON P.A.-C.
6000 UNIVERSITY AVE SUITE 310
WEST DES MOINES, IA 50266-8203
Phone number: 515-277-8900
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Mailing Address
KELLEY ANN PETERSON P.A.-C.
13682 LAKE SHORE DR
CLIVE, IA 50325-8640
Phone number: 515-277-8900
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