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1518618123
JORDAN PETERSON
GALESBURG, IL
NPI
1518618123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.024644)
Enumeration Date
2022-01-14
Last Update Date
2022-01-20
Business Address
JORDAN PETERSON APN
3375 N SEMINARY ST
GALESBURG, IL 61401-1251
Phone number: 309-343-5114
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Mailing Address
JORDAN PETERSON APN
3375 N SEMINARY ST
GALESBURG, IL 61401-1251
Phone number: 309-343-5114
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