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1508942343
COREY REX PETERSON
AUGUSTA, GA
NPI
1508942343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN168422)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
Mr. COREY REX PETERSON CRNA
2260 WRIGHTSBORO RD
AUGUSTA, GA 30904-4764
Phone number: 706-736-2273
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Mailing Address
Mr. COREY REX PETERSON CRNA
4478 SPARKLEBERRY CT
EVANS, GA 30809-4454
Phone number: 706-860-7362
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