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1487755823
JEANNE LOUISE PETERSON
BUFFALO, WY
NPI
1487755823
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Former Name
JEANNE LOUISE PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: WY 824)
Enumeration Date
2006-09-26
Last Update Date
2023-03-07
Business Address
JEANNE LOUISE PETERSON CNM
30 LUNA DR
BUFFALO, WY 82834-8910
Phone number: 307-250-9122
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Mailing Address
JEANNE LOUISE PETERSON CNM
1414 W 4TH ST
GILLETTE, WY 82716-3328
Phone number: 307-682-6263
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