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1508000878
KIMBERLEY MICHELLE PETERSEN
MISSOULA, MT
NPI
1508000878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MT 100360)
Enumeration Date
2009-04-29
Last Update Date
2022-07-21
Business Address
KIMBERLEY MICHELLE PETERSEN NP
634 EDDY AVE
MISSOULA, MT 59812-6601
Phone number: 406-243-2122
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Mailing Address
KIMBERLEY MICHELLE PETERSEN NP
2070 COOPER ST APT 111
MISSOULA, MT 59808-2036
Phone number: 406-396-1019
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