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1477924660
TAYA PETERSON
EAGLE RIVER, AK
NPI
1477924660
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Former Name
TAYA MARIE TABBAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AK NURR37576)
Enumeration Date
2015-10-13
Last Update Date
2015-10-13
Business Address
-- TAYA PETERSON RN
19023 TRAIL BAY DR
EAGLE RIVER, AK 99577-8590
Phone number: 907-223-5918
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Mailing Address
-- TAYA PETERSON RN
19023 TRAIL BAY DR
EAGLE RIVER, AK 99577-8590
Phone number: 907-223-5918
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